MICHAEL KEONISABINO APERTO-APODACA (NPI# 1518201953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518201953 |
| Entity Type | Individual |
| Full Name | MICHAEL KEONISABINO APERTO-APODACA |
| Credential | IDC |
| Practice Address |
6844 Ormoc St Wahiawa HI 96786-3048 |
| Practice Telephone | 8087450953 |
| Mailing Telephone | 8087450953 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2016-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | U.S. NAVY | 1518201953 | 01 |
| Street Address |
6844 ORMOC ST |
| City | WAHIAWA |
| State | HI |
| Zip Code | 96786-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801421870 | Macy Tiatti Coleman | Student in an Organized Health Care Education/Training Program | 683 Waianae Ave, Schofield Barracks, HI 96786 | 2020-03-10 |
| 1063078467 | Jacqueline Tommila | Registered Nurse | Wai'anae & Ayres Ave, Wahiawa, HI 96786 | 2019-05-13 |
| 1578126157 | Shantelle Caliboso Bautista | Registered Nurse | Wheeler Army Field, Wahiawa, HI 96786 | 2019-04-18 |
| 1679136246 | Dorinda A Ventura | Licensed Practical Nurse | 1 Wheeler Aaf Wahiawa, Hi 96786, Wahiawa, HI 96786 | 2019-04-18 |
| 1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
| 1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
| 1417445503 | Kristine Wong | Occupational Therapist | 1034 Kilani Ave Ste 109, Wahiawa, HI 96786 | 2018-04-25 |
| 1467964528 | Hope Treatment Services | Counselor | 360 California Avenue, Wahiawa, HI 96786 | 2017-10-30 |
| 1881103919 | Testiny K J Mailo | Assistant Behavior Analyst | 1046 Eho Eho Avenue, #326, Wahiawa, HI 96786 | 2017-09-20 |
| 1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
| Find all providers in zip 96786 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487955316 | Amanda Nicole Larson | Military Health Care Provider | 500 Center St, Building 22, Wahiawa, HI 96786-3007 | 2010-11-09 |
| 1346423324 | Michael Duane Smaltz | Military Health Care Provider | 55a Savo Dr, Wahiawa, HI 96786-3001 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1508484882 | David Jason Brown | Military Health Care Provider | 6255 Kaawa St, Kailua, HI 96734-4984 | 2020-07-13 |
| 1134759715 | David Maldonado Santiago | Military Health Care Provider | 590 Moffet St, Jbphh, HI 96853-5168 | 2020-01-22 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1649796244 | Joshua I White | Military Health Care Provider | Bldg 4078 Harris Rd., Mcbh Kaneohe Bay, HI 96863 | 2017-08-16 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1811363120 | Timothy Layton | Military Health Care Provider | 1016 Ulupau Loop, Kailua, HI 96734-4772 | 2015-08-20 |
| 1700263001 | Daniel Joseph Engelhardt | Military Health Care Provider | 5435 Kilmer Ln, Honolulu, HI 96818-3467 | 2015-05-06 |
| 1316350168 | Bryan Goodman | Military Health Care Provider | Bldg #1058, Mcbh Kaneohe Bay, HI 96863 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
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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.