NATHAN STEWART ELLIS (NPI# 1467442178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467442178 |
| Entity Type | Individual |
| Full Name | NATHAN STEWART ELLIS |
| Credential | MD |
| Practice Address |
1 Jarrett White Rd Tripler Amc HI 96859-5001 |
| Mailing Address |
2460 Ferdinand Ave Honolulu HI 96822-1909 |
| Practice Telephone | 8084336418 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101048223 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1801457528 | Nathan Christopher Ellis | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2019-06-24 |
| 1164908257 | Nathan Ellis | Licensed Vocational Nurse | 1906 E Tyler Ave Ste G, Harlingen, TX 78550-7109 | 2018-07-12 |
| 1245639772 | Nathan Ellis | Counselor | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2014-08-20 |
| 1154609998 | Nathan Cody Ellis | Counselor | 2850 Industrial Way, Mountain Home, ID 83647-3960 | 2011-07-27 |
| Street Address |
1 JARRETT WHITE RD |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053396085 | Albert Yutaka Saito | Psychiatry & Neurology | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2005-12-13 |
| 1538159371 | Bernard J Lee | Psychiatry & Neurology | 1 Jarrett White Rd, Tripler Army Medical Center Attn Mchk-qs, Tripler Amc, HI 96859-5001 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459492 | Outcomes Clinic LLC | Psychiatry & Neurology | 243 N Judd St Apt C, Honolulu, HI 96817-1747 | 2020-05-21 |
| 1932564861 | Kahala Clinic for Children & Family Inc | Psychiatry & Neurology | 4211 Waialae Ave Ste 207, Honolulu, HI 96816-5312 | 2015-12-18 |
| 1518294966 | Gordon Duff Jensen | Psychiatry & Neurology | 91-521a Hapalua St, Ewa Beach, HI 96706-2929 | 2009-11-05 |
| 1033383153 | Sara Marie Chiu | Psychiatry & Neurology | 88 Kanoelehua Ave Ste A204, Hilo, HI 96720-4670 | 2008-04-18 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| 1831398148 | Josephine Pardenilla Horita | Psychiatry & Neurology | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2007-07-16 |
| 1063617132 | Elodie Schaffer Imonen | Psychiatry & Neurology | 44-2944 Kalaniai Rd, Honokaa, HI 96727-6870 | 2007-06-19 |
| 1548488570 | Lili Kelly | Psychiatry & Neurology | 320 Ohua Ave, Ste 802, Honolulu, HI 96815-3670 | 2007-04-23 |
| 1750509253 | Chia Granda | Psychiatry & Neurology | 3-3204 Kuhio Hwy Ste 104, Lihue, HI 96766-1135 | 2007-04-23 |
| 1851456297 | Eberhard Martin Mann | Psychiatry & Neurology | 1650 Kanunu St Ph 1, Honolulu, HI 96814-2743 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER AMC |
| 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.