MR. JORGE ENRIQUE GUZMAN (NPI# 1669651881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669651881 |
| Entity Type | Individual |
| Full Name | MR. JORGE ENRIQUE GUZMAN |
| Credential | M.D. |
| Practice Address |
85 Maui Lani Pkwy Wailuku HI 96793-2416 |
| Practice Telephone | 8084425700 |
| Practice Fax Number | 8084425701 |
| Mailing Telephone | 8084425700 |
| Mailing Fax Number | 8084425701 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD-20060 | HI | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036126808 | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
48191 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 57.013847 | OH | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE# | 036.126808 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 Mahalani St, Wailuku, HI 967932526 | 8082449056 | 8084425910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225252398 | Jorge Guzman | Marriage & Family Therapist | 2 N Lake Ave Ste 800, Pasadena, CA 91101-1870 | 2007-04-12 |
| 1770520694 | Jorge Alberto Guzman | Internal Medicine | Harper Hospital 3 Hudson, 3990 John R, Detroit, MI 48201 | 2006-05-31 |
| 1427049378 | Jorge G. Guzman | Family Medicine | 1485 George Dieter, Suite 107, El Paso, TX 79936 | 2005-10-31 |
| 1477706356 | Jorge Alberto Guzman | Counselor | 255 Park Ave, Worcester, MA 01609-1953 | 2008-10-23 |
| 1043228091 | Jorge R Guzman | Internal Medicine | 3501 Health Center Blvd, #2160, Bonita Springs, FL 34135 | 2006-08-04 |
| 1548297559 | Jorge E. Guzman | Emergency Medicine | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2006-06-26 |
| Street Address |
85 MAUI LANI PKWY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326015546 | Derrick J. Beech | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-03-07 |
| 1871112029 | Wendy Chen D.o., LLC | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2020-04-08 |
| 1194378885 | Robert Connaughton Md Ltd | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-07-22 |
| 1225698350 | Ohana Heart LLC | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-06-20 |
| 1518422187 | Christopher K Taleghani Md LLC | Specialist | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-02-07 |
| 1386112092 | Cancer Treatment Specialist, PC | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2018-11-12 |
| 1750821443 | Kristen Tamura Md Inc | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2017-03-01 |
| 1255562302 | Joel E Ulloth, Md Inc. | Specialist | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2009-08-06 |
| 1326061003 | Robert H Connaughton | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-07-25 |
| 1942235429 | Vaughan Robert Cipperly | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1760577795 | Joseph Tau Tet Hew Jr. | Internal Medicine | 1852 Loke St, Wailuku, HI 96793-1858 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659806115 | Naoky C S Tsai Md Inc | Internal Medicine | 642 Ulukahiki St Ste 103, Kailua, HI 96734-4418 | 2017-04-21 |
| 1952744484 | Gavin H Park | Internal Medicine | 550 S Beretania St Ste 501, Honolulu, HI 96813-2496 | 2013-04-15 |
| 1508100413 | Stephen K. Buto, Md, Inc | Internal Medicine | 1329 Lusitana St Ste 105, Honolulu, HI 96813-2401 | 2012-11-15 |
| 1851625479 | Edward Luke Bourke Jr. | Internal Medicine | 322 Aoloa St Apt 1305, Kailua, HI 96734-3019 | 2009-09-29 |
| 1467611939 | Elizabeth E Mannick Md A Professional Corporation | Internal Medicine | 39 Kamehameha Ave, Suite B, Kahului, HI 96732-2263 | 2008-06-09 |
| 1871618561 | Neal T Shimoda M D Inc | Internal Medicine | 321 N Kuakini St Ste 503, Honolulu, HI 96817-2390 | 2007-03-20 |
| 1144356783 | Roy M Matsuyama | Internal Medicine | 173 Hoohana St, Suite 104, Kahului, HI 96732-2482 | 2007-02-26 |
| 1346300845 | Rodney M Kazama Md Inc | Internal Medicine | Queens Pob I, 1380 Lusitana St 409, Honolulu, HI 96813-2440 | 2006-12-12 |
| 1154482503 | Parthasarathy Govindarajan | Internal Medicine | 75-5591 Palani Rd Ste 2002, Kailua Kona, HI 96740-3634 | 2006-12-12 |
| 1457411829 | Takakazu Fukumura | Internal Medicine | 512 Ahakea Street, Honolulu, HI 96816-4758 | 2006-12-08 |
| 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.