DR. JON FAIRFAX (NPI# 1053480152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053480152 |
| Entity Type | Individual |
| Full Name | DR. JON FAIRFAX |
| Credential | MD |
| Practice Address |
1350 S King St Suite 325 Honolulu HI 96814-2008 |
| Practice Telephone | 8085919116 |
| Practice Fax Number | 8085919655 |
| Mailing Telephone | 8085919116 |
| Mailing Fax Number | 8085919655 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD7739 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 01976602 | 05 |
| Street Address |
1350 S KING ST SUITE 325 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588763023 | Diane Baker | Registered Nurse | 1350 S King St, Suite 309 Planned Parenthood of Hawaii, Honolulu, HI 96814 | 2006-09-21 |
| 1194260026 | Sierra Terlaje | Physical Therapy Assistant | 1350 S King St, Unit 300, Honolulu, HI 96814-2009 | 2017-01-02 |
| 1043560089 | Hawaii Counseling and Wellness Center LLC | Psychologist | 1350 S King St, Suite 230, Honolulu, HI 96814-2009 | 2012-09-18 |
| 1669737169 | Planned Parenthood of Hawaii | Obstetrics & Gynecology | 1350 S King St, 307, Honolulu, HI 96814-2009 | 2012-07-10 |
| 1740544295 | Planned Parenthood of Hawaii | Obstetrics & Gynecology | 1350 S King St, 309, Honolulu, HI 96814-2009 | 2012-06-29 |
| 1821367137 | State of Hawaii, Department of Health, Early Intervention Section | Early Intervention Provider Agency | 1350 S King St, Honolulu, HI 96814-2009 | 2011-12-16 |
| 1396030110 | David K Woodward | Physical Therapist | 1350 S King St, Suite 303, Honolulu, HI 96814-2009 | 2011-06-09 |
| 1346425337 | Romy T Nochi | Nurse Practitioner | 1350 S King St, Suite 309, Honolulu, HI 96814-2009 | 2008-01-08 |
| 1649483140 | Gail Y. Oshiro | Psychologist | 1350 S King St, Suite 200, Honolulu, HI 96814-2009 | 2007-05-08 |
| 1225181332 | Olaf Knut Gitter | Psychologist | 1350 S King St, Suite 325, Honolulu, HI 96814-2009 | 2007-01-19 |
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|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619729 | Chad Imanaka | Psychiatry & Neurology | Psychiatry Residency Program, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813-1030 | 2018-05-18 |
| 1639551294 | William Portman | Psychiatry & Neurology | 604 Koko Isle Cir, Honolulu, HI 96825-1815 | 2015-06-19 |
| 1184060790 | Alexandra G. Takayesu | Psychiatry & Neurology | 1401 S Beretania St Ste 920, Honolulu, HI 96814 | 2013-05-22 |
| 1366784761 | Richard S. Chung | Psychiatry & Neurology | 7724 Kalohelani Pl, Honolulu, HI 96825-2818 | 2013-03-23 |
| 1588900674 | Kwong Yen Lum | Psychiatry & Neurology | 1350 Ala Moana Blvd Ph 4, Honolulu, HI 96814-4229 | 2012-12-18 |
| 1700156627 | Caitlin Engelhard | Psychiatry & Neurology | University of Hawaii, Department of Psychiatry, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813 | 2012-01-09 |
| 1710286489 | Jaime Stevens | Psychiatry & Neurology | 770 Punahou St, Honolulu, HI 96826-3660 | 2011-03-21 |
| 1346540705 | Gretchenjan Cube Gavero | Psychiatry & Neurology | 1356 Lusitania St, 4th Floor, Honolulu, HI 96813-2409 | 2010-11-01 |
| 1750519336 | Robert A. Hyman, M.d., LLC | Psychiatry & Neurology | 1188 Bishop St Ste 1133, Honolulu, HI 96813-3301 | 2009-06-23 |
| 1497989149 | Thomas Lanno Cook Iv | Psychiatry & Neurology | 1110 University Ave Ste 302, Honolulu, HI 96826-1544 | 2009-05-11 |
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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.