VICTORIA ALEXANDRA MAXON (NPI# 1861993131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861993131 |
Entity Type | Individual |
Full Name | VICTORIA ALEXANDRA MAXON |
Credential | DO |
Practice Address |
1 Jarret Wright Rd Tripler Army Medical Center Honolulu HI 96859-5001 |
Mailing Address |
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001 |
Practice Telephone | 8084332954 |
Enumeration Date | 2018-02-22 |
Last Update Date | 2018-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1 JARRET WRIGHT RD TRIPLER ARMY MEDICAL CENTER |
City | HONOLULU |
State | HI |
Zip Code | 96859-5001 |
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 | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174132336 | Da Eun Suh | Student in an Organized Health Care Education/Training Program | 2350 Dole St # C400, Honolulu, HI 96822-2410 | 2020-07-23 |
1629697347 | Ryan Yee | Student in an Organized Health Care Education/Training Program | 4133 Paloma Pl, Honolulu, HI 96816-3931 | 2020-04-13 |
1558997510 | Ashley-anne Feria Makaula | Student in an Organized Health Care Education/Training Program | 520 Lunalilo Home Rd Unit 255, Honolulu, HI 96825-1721 | 2020-03-20 |
1922633163 | Eden Koo | Student in an Organized Health Care Education/Training Program | 1013 Waieli St, Honolulu, HI 96821-1242 | 2020-03-09 |
1215574090 | Celeste C Ashimine | Student in an Organized Health Care Education/Training Program | 694 Aipo St, Honolulu, HI 96825-2445 | 2019-11-29 |
1316408446 | Yuree Namkung | Student in an Organized Health Care Education/Training Program | 2229 N. School St., Honolulu, HI 96819-2588 | 2019-03-29 |
1073073482 | Rachel Lee | Student in an Organized Health Care Education/Training Program | 1670 Makaloa St Ste 202, Honolulu, HI 96814-3232 | 2019-03-21 |
1851850853 | Laylah Rose Zelko | Student in an Organized Health Care Education/Training Program | 1630 Lusitana St Apt C, Honolulu, HI 96813-1625 | 2019-03-19 |
1699249904 | Kathreece Farrales | Student in an Organized Health Care Education/Training Program | 4110 Napali Pl, Honolulu, HI 96816-4312 | 2019-01-20 |
1669988184 | Emma Natsumi Connelly | Student in an Organized Health Care Education/Training Program | 3323 Hayden St, Honolulu, HI 96815-4378 | 2017-12-20 |
Find all providers in HONOLULU |
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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.