MARY LAN (NPI# 1245681337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245681337 |
| Entity Type | Individual |
| Full Name | MARY LAN |
| Credential | MD |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Tripler Army Medical Center HI 96859-5001 |
| Practice Telephone | 8084334049 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30290 | NE | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 30290 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER |
| City | TRIPLER ARMY MEDICAL CENTER |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935732 | Aimee Chon | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-09-01 |
| 1275146755 | Alan Vazquez | Dentist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-08-25 |
| 1679181291 | Ben Chu | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-20 |
| 1740808328 | Tho Le | Nurse Anesthetist, Certified Registered | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-09 |
| 1609493410 | Julie Klaber | Psychologist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-06-26 |
| 1770107989 | John Solak | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-06-03 |
| 1588287643 | Maggie E Scribner | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-24 |
| 1558983536 | Sara Michelle Allen-dutcher | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-12 |
| 1235750944 | John Francis Schumacher | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-04 |
| 1417578451 | Lauren Williams | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598250847 | Hassan Mohsen | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2018-06-28 |
| 1659722973 | Muhammad A. Mansoor | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2016-06-28 |
| 1003264417 | Adrian Scott Worthen | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | 2016-05-25 |
| 1871908616 | Amir Karimian | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 | 2014-06-30 |
| 1427461565 | Christopher Middleman | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, Tripler Army Medical Center, HI 96859-5001 | 2014-06-06 |
| 1366853814 | Kinsley Anne Hubel | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 | 2014-05-17 |
| 1508139296 | Timothy Gotham | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2012-02-11 |
| 1215223839 | Joseph Lee Roswarski | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2011-06-22 |
| 1417242850 | Ashlee Mari Park | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2011-06-14 |
| 1386938256 | Claudia R Mondragon | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | 2011-06-08 |
| Find all providers in TRIPLER ARMY MEDICAL CENTER | ||||
| City | TRIPLER ARMY MEDICAL CENTER |
| Zip Code | 96859 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.