TRIPLER ARMY MEDICAL CENTER (NPI# 1831146281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831146281 |
| Entity Type | Organization |
| Organization Name | TRIPLER ARMY MEDICAL CENTER |
| Other Organization Name | PACIFIC REGIONAL MEDICAL COMMAND |
| Practice Address |
1 Jarrett White Rd Honolulu HI 96859-5000 |
| Practice Telephone | 8084336661 |
| Practice Fax Number | 8084339025 |
| Mailing Telephone | 8084331016 |
| Mailing Fax Number | 8084339025 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | MR. HUGH NASH KEEL (CHIEF, PATIENT & BUSINESS SERVICES) |
| Authorized Official Telephone | 8084331016 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities | ||
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | ||
| N | 341800000X | Military/U.S. Coast Guard Transport | Transportation Services | ||
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHARMACY NCPDP | 1204027 | 01 | |
| MEDCO | AN2598588 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Regional Medical Command | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114230109 | Tripler Army Medical Center | Clinic/Center | 91-1010 Shangrila St, Suite 100, Kapolei, HI 96707-2161 | 2010-07-19 |
| 1538365036 | Tripler Army Medical Center | Clinic/Center | Bldg 660 Mccornack Road, Dental Clinic, Schofield Barracks, HI 96857 | 2007-06-22 |
| 1750599403 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 677, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1841408598 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 682, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1558460238 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2006-09-21 |
| 1427157056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Sand Island Access Rd Area 4, Honolulu, HI 96819 | 2006-09-21 |
| 1245628056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2014-12-31 |
| 1972919348 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2014-07-07 |
| 1629482062 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2014-06-13 |
| 1902218423 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2014-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRIPLER ARMY MEDICAL CENTER | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 |
| Street Address |
1 JARRETT WHITE RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96859-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295935 | Christina Alison Lewis | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center Pain Clinic 9th Floor Cwing, Honolulu, HI 96859-5000 | 2020-02-03 |
| 1770093650 | Matthew Reggio | Nurse Anesthetist, Certified Registered | 1 Jarrett White Rd, Honolulu, HI 96259 | 2017-10-05 |
| 1477980878 | Jonathan Su | Physical Therapist | 1 Jarrett White Rd, Attn: Physical Therapy, Honolulu, HI 96859 | 2013-09-30 |
| 1285900712 | Kawika Alex Maskell | Physician Assistant | 1 Jarrett White Rd, Honolulu, HI 96789 | 2012-03-29 |
| 1184869141 | Cristian Samuel Madar | Internal Medicine | 1 Jarrett White Rd, Honolulu, HI 96859 | 2008-12-04 |
| 1275781171 | Tripler Army Medical Center | Clinic/Center | 1 Jarrett White Rd, Honolulu, HI 96859 | 2008-09-04 |
| 1881840759 | Richelle Miki Cardwell | Pharmacist | 1 Jarrett White Rd, Honolulu, HI 96819-0002 | 2008-08-12 |
| 1629237961 | Michael Jonathan Keiji Shigemasa | Anesthesiology | 1 Jarrett White Rd, Honolulu, HI 96859-5001 | 2008-06-02 |
| 1083813901 | Joseph Sterbis | Urology | 1 Jarrett White Rd, Urology Clinic, Honolulu, HI 96822 | 2007-07-11 |
| 1508060161 | Ryan Fitz Gibbons | Anesthesiology | 1 Jarrett White Rd, Dept of Anesthesiology, Honolulu, HI 96859-5000 | 2007-06-14 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407801467 | Kapiolani Medical Center for Women and Children | Military Hospital | 1441 Kapiolani Blvd, Suite 1800, Honolulu, HI 96814-4401 | 2006-05-24 |
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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.