MR. NATHANIEL KENNETH DUFF


Address: 1 Jarrett White Rd, Tamc, HI 96859-5001
Phone: 8084333723

MR. NATHANIEL KENNETH DUFF (NPI# 1629051925) 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) 1629051925
Entity Type Individual
Full Name MR. NATHANIEL KENNETH DUFF
Credential P.A.-C.
Practice Address 1 Jarrett White Rd
Tamc
HI 96859-5001
Mailing Address 337-b Kihapai St.
Kailua
HI 96734
Practice Telephone 8084333723
Mailing Telephone 8082280424
Enumeration Date 2005-11-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
AMD-269 HI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 JARRETT WHITE RD
City TAMC
State HI
Zip Code 96859-5001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548268188 Millard Dalton Brown IIi Psychiatry & Neurology 1 Jarrett White Rd, Tamc, HI 96859-5001 2005-07-08
1801092689 Susanna Naomi Holt Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-27
1104023712 Phuoc T Nguyen General Practice 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-27
1205032075 David James Peterson Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-26
1366648685 Charles Tri Nguyen Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-24
1194920546 Valerie Lopes Pires Edmonds Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-17
1568667970 Jordanna M Hostler Internal Medicine 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-15
1336343987 Eric Michael Swanson Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-14
1083818595 Michael Emil Stoudmire General Practice 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-11
1700080231 Christina B Rumayor Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 2007-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770115792 The Janz Corporation Durable Medical Equipment & Medical Supplies Tripler Medical Center, C-103, Honolulu, HI 96859 2020-02-07
1467726927 Elton E Bacon Orthotist 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 2012-03-01
1063738813 Defense Finance & Actg Service Military Hospital 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 2010-04-19
1972737153 Kyong Su Min Orthopaedic Surgery 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 2009-05-04
1558503854 Mark Andrew Gerum Social Worker Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 2009-04-01
1578720926 Travis Jaya Mason Surgery Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 2008-05-21
1467513168 Joselyn Cabalo Funtanilla Ponce Registered Nurse 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 2006-12-13
1346280195 Harkirtin Kaur Mciver Pediatrics Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 2006-06-08
1043297740 Jacqueline Seger Registered Nurse Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 2005-12-23
1982694683 Peter Marlin Psychiatry & Neurology Tamc, 1 Jarriet White Road, Honolulu, HI 96859 2005-10-24
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124019484 Denis Shigeo Yamada Physician Assistant 1 Jarrett White Rd, Tamc, HI 96859-5001 2005-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659711323 Edward Michael Lawlor Physician Assistant 45-552 Keneke Pl, Kaneohe, HI 96744-3420 2013-06-26
1588846125 Heidi Sarkozy Physician Assistant 1830 Wells St Ste 103, Wailuku, HI 96793 2007-12-05
1427693266 Dylan S Everett Physician Assistant 888 S King St, Honolulu, HI 96813-3097 2019-11-15
1538711650 Kamala Pham Mcnevin Physician Assistant 3288 Moanalua Rd, Honolulu, HI 96819-1469 2019-07-09
1356815906 Lindsey M Shannon Physician Assistant 3288 Moanalua Rd, Honolulu, HI 96819-1469 2019-01-16
1952763013 Alan Sunada Physician Assistant 3288 Moanalua Rd, Honolulu, HI 96819-1469 2016-03-28
1750612768 Priscilla Rodriguez Physician Assistant 1 Jarrett White Road, Neurosurgery Clinic, Honolulu, HI 96859-5000 2010-01-15
1912236993 Larry Robert Alfrey Physician Assistant 1301 Punchbowl St, Trauma Services, Kinau 403, Honolulu, HI 96813-2402 2009-12-21
1598997322 Gary D Edwards Physician Assistant 2180 Main St, Wailuku, HI 96793-1625 2009-08-12
1174749212 Jameson John Pawlik Physician Assistant 41 E Lipoa St, Suite 21, Kihei, HI 96753-8148 2007-04-17
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Competitor

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City TAMC
Zip Code 96859

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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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