DR. JON D GERDSEN (NPI# 1962594887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962594887 |
| Entity Type | Individual |
| Full Name | DR. JON D GERDSEN |
| Credential | M.D. |
| Practice Address |
67-1123 Mamalahoa Hwy Ste 128 Kamuela HI 96743-8451 |
| Practice Telephone | 8088876460 |
| Practice Fax Number | 8088876441 |
| Mailing Telephone | 8088876460 |
| Mailing Fax Number | 8088876441 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5842 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 02481501 | 05 |
| Street Address |
67-1123 MAMALAHOA HWY STE 128 |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743-8451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467436006 | Gerard W Szczygiel | Obstetrics & Gynecology | 67-1123 Mamalahoa Hwy, Kamuela, HI 96743-8451 | 2005-12-06 |
| 1033434683 | Lucas and Associates Inc | Internal Medicine | 67-1123 Mamalahoa Hwy, Suite 130, Kamuela, HI 96743-8451 | 2010-04-06 |
| 1710114228 | Terry G Smith Md Inc. | Orthopaedic Surgery | 67-1123 Mamalahoa Hwy, Suite 120, Kamuela, HI 96743-8451 | 2009-06-11 |
| 1659429876 | William Douglas Hiller | Orthopaedic Surgery | 67-1123 Mamalahoa Hwy, Suite 124, Kamuela, HI 96743-8451 | 2007-01-05 |
| 1679633291 | David Hugh Mcnaughton | Family Medicine | 67-1123 Mamalahoa Hwy, Ste 128, Kamuela, HI 96743-8451 | 2006-12-12 |
| 1740354232 | Orchid Isle Neurology, LLC | Psychiatry & Neurology | 67-1123 Mamalahoa Hwy, Suite 110, Kamuela, HI 96743-8451 | 2006-11-17 |
| 1669559209 | Terry Glen Smith | Orthopaedic Surgery | 67-1123 Mamalahoa Hwy, Suite 120, Kamuela, HI 96743-8451 | 2006-11-01 |
| 1932291978 | John M Dawson | Internal Medicine | 67-1123 Mamalahoa Hwy, Suite 128, Kamuela, HI 96743-8451 | 2006-09-28 |
| 1720170632 | Niall M Scully | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67-1123 Mamalahoa Hwy, Susite 128, Kamuela, HI 96743-8451 | 2006-09-28 |
| 1750473740 | James R Lucas | Internal Medicine | 67-1123 Mamalahoa Hwy, Suite 130, Kamuela, HI 96743-8451 | 2006-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679997191 | Cherylin Garvey | Pediatrics | 64-5255 Iokua Place, Kamuela, HI 96743-0550 | 2014-02-05 |
| 1013119700 | Ian Nui Chun | Pediatrics | 64-1035 Mamalahoa Hwy Ste F, Kamuela, HI 96743-8440 | 2007-06-04 |
| 1407071756 | Marcia M Wishnick | Pediatrics | 59-270 Ou Pl, Kamuela, HI 96743-8556 | 2007-04-13 |
| 1699856286 | Paniolo Country Pediatrics LLC | Pediatrics | 64-1032 Mamalahoa Hwy Ste 204, Kamuela, HI 96743-8441 | 2006-10-18 |
| 1598777633 | Steven Clyde Kaplan | Pediatrics | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2006-08-13 |
| 1902054885 | Brett Colin Ferguson | Pediatrics | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2008-09-03 |
| 1437262300 | Peter Edward Gregg | Pediatrics | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959050 | We Prescribe Inc | Pediatrics | 1110 Nuuanu Ave Ste A1-298, Honolulu, HI 96817-5119 | 2020-07-20 |
| 1598382772 | Barbora Kadecka | Pediatrics | 1319 Punahou Street #741, Pediatric Residency Program, Honolulu, HI 96826 | 2020-07-02 |
| 1720605504 | Keanuenue Pediatrics, LLC | Pediatrics | 3465 Waialae Ave Ste 270, Honolulu, HI 96816-2686 | 2020-06-29 |
| 1497315584 | Larry Jay Shapiro | Pediatrics | 604 N Kalaheo Ave, Kailua, HI 96734-1907 | 2019-06-19 |
| 1013571546 | Jenny Liu | Pediatrics | 1319 Punahou St Ste 741, Honolulu, HI 96826-1001 | 2019-04-30 |
| 1295219095 | Hawaii Coalition for Health | Pediatrics | 302 California Ave Ste 209, Wahiawa, HI 96786-1841 | 2018-09-18 |
| 1992232037 | Harold Nilsson, M.d., LLC | Pediatrics | 1441 Kapiolani Blvd Ste 825, Honolulu, HI 96814-4457 | 2017-05-19 |
| 1508216524 | Irene Papaconstadopoulos | Pediatrics | 141 Hekuawa St, Haiku, HI 96708-7009 | 2016-06-21 |
| 1780056093 | Kona Pediatrics, Inc | Pediatrics | 95-1017 Melekomo St, Mililani, HI 96789-6004 | 2015-10-26 |
| 1629497102 | Sean Findlay | Pediatrics | Bldg 680, Wheeler Army Air Field, HI 96854 | 2014-04-10 |
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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.