DR. GENINE MARIE GORMAN


Address: 480 Central Ave, Pearl Harbor, HI 96860-4908
Phone: 8084744242

DR. GENINE MARIE GORMAN (NPI# 1750860318) 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) 1750860318
Entity Type Individual
Full Name DR. GENINE MARIE GORMAN
Credential PHD, MSN, BSN, RN
Practice Address 480 Central Ave
Pearl Harbor
HI 96860-4908
Practice Telephone 8084744242
Practice Fax Number 8084740918
Mailing Telephone 8084744242
Mailing Fax Number 8084710918
Enumeration Date 2018-08-14
Last Update Date 2018-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WA2000X Registered Nurse
Specialization: Administrator
44764 HI Nursing Service Providers
Y 163WC1600X Registered Nurse
Specialization: Continuing Education/Staff Development
44764 HI Nursing Service Providers

Office Location

Street Address 480 CENTRAL AVE
City PEARL HARBOR
State HI
Zip Code 96860-4908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992311930 Branch Medical Clinic Naval Shipyard Pearl Harbor Clinic/Center 480 Central Ave, Pearl Harbor, HI 96860-4908 2020-09-16
1144841842 Sue Ellen Alden-rudin Registered Nurse 480 Central Ave, Pearl Harbor, HI 96860-4908 2020-05-04
1982244489 Lindsey Serapion-peralta Dental Hygienist 480 Central Ave, Pearl Harbor, HI 96860-4908 2020-01-13
1609429364 Michelle Marie Pallera Lobaton Registered Nurse 480 Central Ave, Pearl Harbor, HI 96860 2019-07-22
1548720451 Kimi Jo Nelson Registered Nurse 480 Central Ave, Pearl Harbor, HI 96860 2019-03-25
1841761525 Heather Nycole Matz Registered Nurse 480 Central Ave, Pearl Harbor, HI 96860-4908 2018-12-06
1184192494 Edwin Ernest Stumpf II Registered Nurse 480 Central Ave, Pearl Harbor, HI 96860-4908 2018-11-05
1902380413 Lystra Irene Braumuller Case Manager/Care Coordinator 480 Central Ave, Pearl Harbor, HI 96860-4908 2018-09-20
1942783121 Jennifer Yadao Registered Nurse 480 Central Ave, Pearl Harbor, HI 96860-4908 2018-09-13
1720567662 Corinne Keiko Niiya Ching Registered Nurse 480 Central Ave, Pearl Harbor, HI 96860-4908 2018-08-10
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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 163WC1600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Continuing Education/Staff Development

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710507256 Nursing Care Hawaii Registered Nurse 504 Liholiho St, Wailuku, HI 96793-2615 2020-04-24

Competitor

Search similar providers

City PEARL HARBOR
Zip Code 96860

Improve Information

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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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