DOUGLAS CONNOR TRASK


Address: 490 Central Ave, Pearl Harbor, HI 96860-4958
Phone: 8084772600

DOUGLAS CONNOR TRASK (NPI# 1609335009) 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) 1609335009
Entity Type Individual
Full Name DOUGLAS CONNOR TRASK
Practice Address 490 Central Ave
Pearl Harbor
HI 96860-4958
Practice Telephone 8084772600
Mailing Telephone 8084772600
Enumeration Date 2019-03-15
Last Update Date 2020-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 0101270234 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers DOUGLAS TRASK

NPI Name Taxonomy Address Enumeration
1346233467 Douglas K Trask Otolaryngology 2200 W 3rd St Ste 120b, Los Angeles, CA 90057 2005-08-24

Office Location

Street Address 490 CENTRAL AVE
City PEARL HARBOR
State HI
Zip Code 96860-4958

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710488614 Corey J Badgett Military Health Care Provider 490 Central Ave, Pearl Harbor, HI 96860-4958 2018-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770075970 April Box Registered Nurse Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 2018-06-04
1760985535 Daniel Thomas Weinberg General Practice 1430 Morton St Bldg 619, Jbphh, HI 96860 2018-03-17
1003325366 Justin Hesse Military Health Care Provider Building 17 Bishop Point, Pearl Harbor, HI 96860 2017-09-29
1982057816 John Alois Kustermann Family Medicine 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 2016-07-15
1104290519 Carlton Jacob Maughan Military Health Care Provider Bldg 17 Bishops Point, Pearl Harbor, HI 96860 2015-11-23
1588079206 Naval Health Clinic Hawaii Military/U.S. Coast Guard Pharmacy Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 2014-06-23
1922349968 Jose Israel Lopez Military Health Care Provider Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 2013-03-14
1790056620 Lesley Brooke Dorsey Physician Assistant 408 Central Ave, Jbphh, HI 96860 2012-01-24
1184914061 William A Talbott Military Health Care Provider 850 Ticonderoga St, Pearl Harbor, HI 96860 2011-04-13
1275860603 Michael J. Rodriguez Military Health Care Provider 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 2009-11-05
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700862927 Warren Harry Witt General Practice Makalapa Medical Clinic, 480 Central Ave, Pearl Harbor, HI 96860-4908 2005-12-20
1366837015 Anthony Joseph Marchand General Practice 480 Central Ave, Pearl Harbor, HI 96860-4908 2015-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992306864 Sfmba, LLC General Practice 1378 Owaka St, Wailuku, HI 96793-9743 2020-11-05
1144828773 About Face Kailua, LLC General Practice 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 2020-10-15
1619444569 Optimized Health LLC General Practice 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 2018-10-30
1366926313 Doctors of Waikiki General Practice 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 2018-09-15
1760985535 Daniel Thomas Weinberg General Practice 1430 Morton St Bldg 619, Jbphh, HI 96860 2018-03-17
1023517968 Woundtech of Hawaii, Inc General Practice 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 2018-02-06
1285184796 Summer Breeze LLC General Practice 4211 Waialae #202, Honolulu, HI 96816-5319 2016-10-07
1164879649 Patrick Young General Practice 400 Hualani St Ste 196, Hilo, HI 96720-4389 2016-05-16
1205216728 William Garrett Holder Jr. General Practice Schofield Barracks Army Health Clinic Glennan Street, Bldg 677, Schofield Barracks, HI 96787 2015-06-01
1487050241 Coralie A.k. Texeira, M.d. LLC General Practice 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707-2232 2014-11-06
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Competitor

Search similar providers

City PEARL HARBOR
Zip Code 96860

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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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