ANDREW H JACOB (NPI# 1194168575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194168575 |
| Entity Type | Individual |
| Full Name | ANDREW H JACOB |
| Credential | LMT |
| Practice Address |
2440 Kuhio Ave Ste Os1 Honolulu HI 96815-3347 |
| Mailing Address |
2100 Date St Honolulu HI 96826-4054 |
| Practice Telephone | 8083493141 |
| Mailing Telephone | 8083493141 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11932 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | STATE LICENSE NUMBER | 11932 | 01 |
| Street Address |
2440 KUHIO AVE STE OS1 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| 1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
| 1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
| 1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
| 1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
| Find all providers in zip 96815 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715166 | Gabrielle Maila Kaea | Massage Therapist | 600 Kapiolani Blvd Ste 202, Honolulu, HI 96813-5139 | 2020-09-22 |
| 1619595097 | Toni Xu Tang | Massage Therapist | 2421 Ala Wai Blvd Apt 1203, Honolulu, HI 96815-3480 | 2020-07-11 |
| 1083238240 | Tenisha Ruidas LLC | Massage Therapist | 3009 Ala Makahala Pl Apt 1202, Honolulu, HI 96818-7607 | 2020-06-03 |
| 1124641352 | Jamie Sedeno | Massage Therapist | 1001 Waimanu St Ste D, Honolulu, HI 96814-3411 | 2020-05-21 |
| 1568099216 | Jordann Hanayo Kalae Patricio | Massage Therapist | 1652 Frog Ln, Honolulu, HI 96817-3120 | 2020-03-24 |
| 1285271064 | Gordon W.s. Wong | Massage Therapist | 1236 Waimanu St Ste A, Honolulu, HI 96814-4305 | 2019-11-29 |
| 1417590332 | Althea Gatto | Massage Therapist | 236 Liliuokalani Ave Apt 102, Honolulu, HI 96815-3512 | 2019-10-23 |
| 1376193466 | Maria Marcelina Millon | Massage Therapist | 4182 Halupa St, Honolulu, HI 96818-1815 | 2019-09-19 |
| 1104475292 | Manuel Gonsalves | Massage Therapist | 1319 Punahou St Ste 910, Honolulu, HI 96826-1088 | 2019-09-10 |
| 1598318537 | Althea Gatto | Massage Therapist | Orthosport 5722 Kalaniana'ole Hwy, Honolulu, HI 96821 | 2019-07-18 |
| 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.