JON FUKUMOTO (NPI# 1477663284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477663284 |
| Entity Type | Individual |
| Full Name | JON FUKUMOTO |
| Credential | MD |
| Practice Address |
1329 Lusitana St Ste 307 Honolulu HI 96813-2435 |
| Practice Telephone | 8085246115 |
| Practice Fax Number | 8085281711 |
| Mailing Telephone | 8085246115 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
MD 13701 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA | 0000262758 | 01 |
| HI | 586125-01 | 05 |
| Street Address |
1329 LUSITANA ST STE 307 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174590541 | Jonathan K. Cho | Internal Medicine | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2006-03-03 |
| 1639781123 | Bryce Montalbo | Nurse Practitioner | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2020-08-18 |
| 1205495231 | Linda Kimiko Kaneshige | Pharmacist | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2019-06-12 |
| 1639609068 | Judy Ko | Nurse Practitioner | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2017-06-18 |
| 1811387442 | Ashley Mae Springer | Registered Nurse | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2015-02-03 |
| 1336384304 | Oncare Hawaii Inc. | Nurse Practitioner | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2008-12-04 |
| 1295953123 | David Jon Tamura | Internal Medicine | 1329 Lusitana St Ste 307, Honolulu, HI 96813 | 2007-04-24 |
| 1598703027 | Oncology Hematology Care Hawaii, Inc. | Internal Medicine | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2006-06-04 |
| 1194792119 | Arnold K.n. Yee | Internal Medicine | 1329 Lusitana St Ste 307, Honolulu, HI 96813 | 2006-03-08 |
| 1346217718 | William S. Loui | Internal Medicine | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2006-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 |
|---|---|---|---|---|
| 1912087073 | Randall F Holcombe | Internal Medicine | 701 Ilalo St Ste 600, Honolulu, HI 96813-5516 | 2006-10-16 |
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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.