DR. JON STEPHEN VAN CLEAVE (NPI# 1053526947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053526947 |
Entity Type | Individual |
Full Name | DR. JON STEPHEN VAN CLEAVE |
Credential | D.O. |
Practice Address |
367 Papaloa Rd Kapaa HI 96746-1441 |
Mailing Address |
Po Box 1687 Koloa HI 96756-1687 |
Practice Telephone | 8086512290 |
Mailing Telephone | 8086512290 |
Mailing Fax Number | 8088218656 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
DOS-627 | HI | Allopathic & Osteopathic Physicians |
Street Address |
367 PAPALOA RD |
City | KAPAA |
State | HI |
Zip Code | 96746-1441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487269965 | Joshua Ley | Physical Therapist | 5633 Kawaihau Road, Bldg 2a-12, Kapaa, HI 96746 | 2020-09-11 |
1740833896 | Aida Rivada Mendoza | Community Health Worker | Kapaa Waiver Program Service Center, 4800 Kawaihau Road #f, Kapaa, HI 96746 | 2019-07-18 |
1154892511 | Katherine O'donnell | Physical Therapist | 5633 Kawaihu Road, Bldg 2a-12, Kapaa, HI 96746 | 2018-12-11 |
1447734371 | Mehrnaz Motazedian | Behavioral Analyst | 5519 Kula Mauu, Kapaa, HI 96746 | 2018-09-17 |
1942713011 | Briana Marie Uribe | Behavioral Analyst | 3-312 Kuhio Hwy, Lihue, HI 96746 | 2017-11-13 |
1639692361 | Garden Isle Caregivers | Foster Care Agency | 5362 Olopua St, Kapaa, HI 96746 | 2017-07-25 |
1598122723 | Catherine Clement | Counselor | 1435 Kuhio Hwy. Suite 206, Kapaa, HI 96746 | 2016-01-19 |
1598120735 | Makana Mardonada | Social Worker | 5839 Waipouli Rd, Kapaa, HI 96746 | 2015-12-15 |
1740526938 | Kauai In-home Therapy LLC | Clinic/Center | 2-2514 Kaumualii Highway Ste. 205, Kalaheo, HI 96746 | 2012-12-17 |
1972877058 | Carole L. Duby | Massage Therapist | 365 Papaloa Rd, Kapa'a, HI 96746 | 2012-03-07 |
Find all providers in zip 96746 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457364390 | Akila Sreedharan | Internal Medicine | 279 Makaweli Pl, Honolulu, HI 96825-2119 | 2006-08-14 |
1346856978 | University Health Partners Akahai LLC | Internal Medicine | 1329 Lusitana St Ste 207, Honolulu, HI 96813-2411 | 2020-09-18 |
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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.