MR. ELTON EDWARD JOHNSON JR.


Address: 400 Sand Island Pkwy, Uscg, Honolulu, HI 96819-4326
Phone: 8088422930

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 400 SAND ISLAND PKWY
USCG
City HONOLULU
State HI
Zip Code 96819-4326

Providers in the same location

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
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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
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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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

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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
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Competitor

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City HONOLULU
Zip Code 96819

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Dataset Information

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.

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