MR. ELTON EDWARD JOHNSON JR. (NPI# 1508844861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508844861 |
Entity Type | Individual |
Full Name | MR. ELTON EDWARD JOHNSON JR. |
Credential | APRN |
Practice Address |
400 Sand Island Pkwy Uscg Honolulu HI 96819-4326 |
Mailing Address |
98-139 Kanuku St Apt 109 Aiea HI 96701-5123 |
Practice Telephone | 8088422930 |
Practice Fax Number | 8088323281 |
Mailing Telephone | 8084881237 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WG0000X |
Registered Nurse Specialization: General Practice |
583059 | TX | Nursing Service Providers |
X | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
45098 | HI | Nursing Service Providers |
X | 164X00000X | Licensed Vocational Nurse | 69774 | TX | Nursing Service Providers |
X | 363LF0000X |
Nurse Practitioner Specialization: Family |
675 | HI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
400 SAND ISLAND PKWY USCG |
City | HONOLULU |
State | HI |
Zip Code | 96819-4326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568801702 | Lianne Msl Casupang | Counselor | 400 Sand Island Pkwy, Honolulu, HI 96819-4326 | 2013-06-20 |
1871897793 | Daniel James Sharkey | Technician, Other | 400 Sand Island Pkwy, Honolulu, HI 96819-4326 | 2011-01-06 |
1710017678 | Us Coast Guard | Technician, Health Information | 400 Sand Island Pkwy, Honolulu, HI 96819-4326 | 2007-03-07 |
1497881445 | Daniel Gene Moraga | Technician | 400 Sand Island Pkwy, Honolulu, HI 96819-4326 | 2007-02-26 |
1568597714 | Edwin Abel Casanova | Technician, Health Information | 400 Sand Island Pkwy, Honolulu, HI 96819-4326 | 2007-02-21 |
1477692143 | Kenneth A. Davis | Military Health Care Provider | 400 Sand Island Pkwy, Cgc Kukui (wlb-203), Honolulu, HI 96819-4326 | 2007-02-06 |
1376612010 | Heidi Marie Ronnfeldt | Military Health Care Provider | 400 Sand Island Pkwy, Honolulu, HI 96819-4326 | 2006-11-07 |
1316029259 | U.S. Coast Guard Isc Honolulu | Clinic/Center | 400 Sand Island Pkwy, Health Services Division, Honolulu, HI 96819-4326 | 2006-10-19 |
1043319502 | Eric John Fialkowski | Technician, Other | 400 Sand Island Pkwy, Isc Medical, Honolulu, HI 96819-4326 | 2006-09-21 |
1225133705 | Megan Elaine Leonard | Technician, Other | 400 Sand Island Pkwy, Medical, Honolulu, HI 96819-4326 | 2006-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
Find all providers in zip 96819 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336507573 | Melissa Walker | Registered Nurse | 1345 S Beretania St, Suite 101, Honolulu, HI 96814-1802 | 2016-02-02 |
1619223617 | Transitional Care Partners of Hawaii, Inc. | Registered Nurse | 560 N Nimitz Hwy, Suite 204, Honolulu, HI 96817-5330 | 2012-07-27 |
1114582434 | Chunli Liu | Registered Nurse | 1302 Queen Emma St, Honolulu, HI 96813-2312 | 2019-05-02 |
1467949891 | Julie Michelle Bremholm | Registered Nurse | 2470 S King St, Honolulu, HI 96826-5808 | 2018-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
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1023640869 | Renee Marie Zavala | Registered Nurse | 654 Kaiemi St, Kailua, HI 96734-2015 | 2020-02-10 |
1932755915 | Carol J Macdonald | Registered Nurse | 91-2034 Kamakana St, Ewa Beach, HI 96706-6412 | 2019-08-14 |
1689220238 | Sheillamari Africa Prepuse | Registered Nurse | 86-218 Leihoku St, Waianae, HI 96792-2957 | 2019-08-09 |
1164087581 | Janina M Springer | Registered Nurse | 45-828 Anoi Rd, Kaneohe, HI 96744-3405 | 2019-05-01 |
1225692155 | Madison Burk | Registered Nurse | 1066 Pua Aloalo Rd, Kailua, HI 96734-4815 | 2019-04-25 |
1578126157 | Shantelle Caliboso Bautista | Registered Nurse | Wheeler Army Field, Wahiawa, HI 96786 | 2019-04-18 |
1801065586 | Don Sudara Dona | Registered Nurse | 95-198 Alaalaa Loop, Mililani, HI 96789-1202 | 2008-02-26 |
1528602984 | Carrie P Yamamoto | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2019-10-29 |
1619532850 | Micaela Kahalehoe | Registered Nurse | 165 Kaiholu St, Kailua, HI 96734-1967 | 2019-05-02 |
1548720451 | Kimi Jo Nelson | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-03-25 |
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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.