DR. CARROLL J. DIEBOLD (NPI# 1437135993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437135993 |
| Entity Type | Individual |
| Full Name | DR. CARROLL J. DIEBOLD |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Road Department of Psychiatry (mchk-ps) Tripler Army Medical Center HI 96859-5000 |
| Mailing Address |
95-518 Poiki Pl Mililani HI 96789-1882 |
| Practice Telephone | 8084336406 |
| Practice Fax Number | 8084334591 |
| Mailing Telephone | 8084336406 |
| Mailing Fax Number | 8084334591 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD045522E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1 JARRETT WHITE ROAD DEPARTMENT OF PSYCHIATRY (MCHK-PS) |
| City | TRIPLER ARMY MEDICAL CENTER |
| State | HI |
| Zip Code | 96859-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760708275 | Alicia Catherine Prescott | Pediatrics | 1 Jarrett White Road, Department of Pediatrics, Tripler Army Medical Center, HI 96859 | 2010-04-09 |
| 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 | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588964266 | Robert C Marvit Md Inc | Psychiatry & Neurology | 929 Pueo Street, Honolulu, HI 96816 | 2010-10-27 |
| 1548468945 | Kosta Stojanovich | Psychiatry & Neurology | 555 University Ave Apt 2303, Honolulu, HI 96826-5033 | 2007-07-06 |
| 1932254554 | Robert Charles Marvit | Psychiatry & Neurology | 929 Pueo St, Honolulu, HI 96816-5234 | 2007-01-24 |
| 1912944620 | Gerald Irwin Busch | Psychiatry & Neurology | 1356 Lusitana St Fl 4, Honolulu, HI 96813-2409 | 2006-06-01 |
| 1093914897 | Shaylin P.y.k. Chock | Psychiatry & Neurology | 1356 Lusitana St, 4th Fl., Honolulu, HI 96813-2409 | 2007-07-12 |
| 1669694261 | Pablo Stewart | Psychiatry & Neurology | 1356 Lusitana St Fl 4, Honolulu, HI 96813-2409 | 2007-05-03 |
| 1679693212 | Sharon Marie Tisza | Psychiatry & Neurology | 45-710 Keaahala Rd, Kaneohe, HI 96744-3528 | 2007-03-29 |
| 1891757977 | Scott D Uithol | Psychiatry & Neurology | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-04-04 |
| 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.