DR. C. MITCHELL JENKINS (NPI# 1548292543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548292543 |
| Entity Type | Individual |
| Full Name | DR. C. MITCHELL JENKINS |
| Credential | M.D. |
| Practice Address |
4469 Waialo Rd Eleele HI 96705 |
| Mailing Address |
Po Box 51014 Eleele HI 96705-1014 |
| Practice Telephone | 8083350579 |
| Practice Fax Number | 8083350581 |
| Mailing Telephone | 8083350579 |
| Mailing Fax Number | 8083350581 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD-7755 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMA | 223743 | 01 |
| HI | KAISER | C47570 | 01 |
| HI | UHA | 2688402 | 01 |
| HI | ALOHACARE | 542490 | 01 |
| HI | 54249001 | 05 |
| Street Address |
4469 WAIALO RD |
| City | ELEELE |
| State | HI |
| Zip Code | 96705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780941 | Rochelle Ritsuko Braun | Pharmacist | 4469 Waialo Rd, Eleele, HI 96705 | 2019-09-24 |
| 1023208253 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 4469 Waialo Rd, Eleele, HI 96705 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788241 | Emmanuel Salvador Melchor | Pharmacist | 4469 Waialo Road, Eleele, HI 96705 | 2019-09-11 |
| 1194382630 | Blessy Aspiras | Registered Nurse | 4750 Uliuli Rd, Eleele, HI 96705 | 2019-05-21 |
| 1699212274 | Joscelynn Jarquio | Assistant Behavior Analyst | 533 Leipapa Pl., Eleele, HI 96705 | 2017-01-20 |
| 1871910745 | Ralph A. Dupree, Md, LLC | Clinic/Center | 243 Keo Keo Road, Eleele, HI 96705 | 2014-03-27 |
| 1740459387 | Zina Marina Daniels | Physical Therapist | 4353 Waialo Road, 11a, Eleele, HI 96705 | 2008-02-28 |
| 1750409421 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Eleele Clinic, 4382 Waialo Rd, Eleele, HI 96705 | 2007-03-27 |
| 1497829139 | Thomas B. Williamson | Family Medicine | 4382 Waialo Rd, Eleele, HI 96705 | 2006-11-17 |
| 1235234303 | Steven J. Penner | Family Medicine | 4382 Waialo Road, Eleele, HI 96705 | 2006-09-14 |
| 1922030923 | Virginia A. Beck | Nurse Practitioner | 4469 Waialo Rd., Eleele, HI 96705 | 2006-07-07 |
| 1366916868 | Hawaii Health Systems Corporation | Clinic/Center | 4353 Waialo Rd, Eleele, HI 96705 | 2019-01-17 |
| Find all providers in zip 96705 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1770180010 | Carehalo West LLC | Internal Medicine | 4348 Waialae Ave # 701, Honolulu, HI 96816-5767 | 2020-10-08 |
| 1083230619 | Maui Wellness Medical Center LLC | Internal Medicine | 1300 N Holopono St, Kihei, HI 96753-6945 | 2020-06-19 |
| 1255983177 | Jehdeiah B Lewis | Internal Medicine | 1542 Wilhelmina Rise, Honolulu, HI 96816-7303 | 2019-07-11 |
| 1104481423 | Hayk Ghukasyan | Internal Medicine | 1356 Lusitana St # 705, Honolulu, HI 96813-2409 | 2019-05-02 |
| 1083180947 | Adrienne Wing Md | Internal Medicine | 1329 Lusiotana St, #507, Honolulu, HI 96813 | 2018-10-18 |
| 1619456035 | Elmer F. Baysa Md, Inc | Internal Medicine | 91-775 Papipi Rd Ste A, Ewa Beach, HI 96706-2466 | 2018-08-07 |
| 1073019162 | Leon Matsuo Md Inc | Internal Medicine | 78-6831 Alii Dr Ste B110, Kailua Kona, HI 96740-2495 | 2018-04-05 |
| 1912415977 | Aaron H. Morita, M.d., F.a.c.p., Inc. | Internal Medicine | 670 Ponahawai St Ste 223, Hilo, HI 96720-7829 | 2018-01-11 |
| 1538699079 | William Han Bae | Internal Medicine | 2828 Paa St # 3d04, Honolulu, HI 96819-4430 | 2017-06-18 |
| 1447783741 | Gabino L Baloy Md LLC | Internal Medicine | 94-216 Farrington Hwy Ste 314, Waipahu, HI 96797-1925 | 2017-04-04 |
| 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.