MR. MERRIL ROGER GOODELL (NPI# 1366771636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366771636 |
| Entity Type | Individual |
| Full Name | MR. MERRIL ROGER GOODELL |
| Credential | N.P. |
| Practice Address |
888 S King St Honolulu HI 96813-3009 |
| Mailing Address |
888 S King St Straub Department of Geriatrics Honolulu HI 96813-3009 |
| Practice Telephone | 8085223159 |
| Practice Fax Number | 8085224345 |
| Mailing Telephone | 8085223159 |
| Mailing Fax Number | 8085224345 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2010-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN-1231 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
888 S KING ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917176 | Ted A Tobey | Internal Medicine | 888 S King St, Straub Endocrinology Department, Honolulu, HI 96813-3097 | 2005-10-21 |
| 1578175642 | Heather Marie Postema | Nurse Practitioner | 888 S King St, Honolulu, HI 96813-3097 | 2020-08-20 |
| 1013530484 | Scott T Yokota | Physical Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-05-20 |
| 1386265429 | Lisa Sonoko Soyejima-nordstrom | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-29 |
| 1265053458 | Annemaire Suzu Hashimoto | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-29 |
| 1376163394 | Farrah C Dimagiba | Occupational Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-20 |
| 1780204776 | Kimberly Dekreek | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-20 |
| 1467072520 | Hikaru Yamashita | Speech-Language Pathologist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-19 |
| 1528688702 | Ashley Bagorio | Occupational Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-17 |
| 1568082766 | Whitney Reigh Asao | Occupational Therapist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891205126 | Rajeana K Johnson | Nurse Practitioner | 500 Ala Moana Blvd Ste 4547, Honolulu, HI 96813-4914 | 2017-09-29 |
| 1104438654 | Jennifer Nguyen Lam | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-08-17 |
| 1922578418 | Yesid Elaine Romero Romero | Nurse Practitioner | 1441 Kapiolani Blvd. #2000, Honolulu, HI 96814 | 2018-11-28 |
| 1508268913 | Courtnee Nunokawa | Nurse Practitioner | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2014-09-17 |
| 1093133639 | Tanya Lee Kim | Nurse Practitioner | 888 S King St, Honolulu, HI 96813-3097 | 2014-04-01 |
| 1922154723 | Leslie K Hubbard | Nurse Practitioner | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-01-25 |
| 1962559542 | Joy S N Kurihara | Nurse Practitioner | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-01-04 |
| 1114081650 | C J B Burrell | Nurse Practitioner | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-12-20 |
| 1053486035 | Joan M. Maeshiro | Nurse Practitioner | 550 S Beretania St, 601, Honolulu, HI 96813-2414 | 2006-11-22 |
| 1750493920 | Roxann M. S. Rowe | Nurse Practitioner | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-08-31 |
| 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.