SAMANTHA SUZANNE PINON (NPI# 1396218582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396218582 |
| Entity Type | Individual |
| Full Name | SAMANTHA SUZANNE PINON |
| Credential | IDC |
| Practice Address |
1253 Makalapa Road Honolulu HI 96817 |
| Mailing Address |
590 Moffet St Jbphh HI 96853-5168 |
| Practice Telephone | 8084720247 |
| Mailing Telephone | 8084484500 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
1253 MAKALAPA ROAD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447694179 | Christopher Henry Rossetti | Physician Assistant | 1253 Makalapa Road, Honolulu, HI 96817 | 2013-04-24 |
| 1083250732 | Nchewi Michael Imoke | Psychologist | 1253 Makalapa Road, Honolulu, HI 96817 | 2019-11-18 |
| 1992293625 | Jessica Ann Christensen | Pharmacy Technician | 1253 Makalapa Road, Honolulu, HI 96817 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700263001 | Daniel Joseph Engelhardt | Military Health Care Provider | 5435 Kilmer Ln, Honolulu, HI 96818-3467 | 2015-05-06 |
| 1174966931 | Darrius Anthrawe Cooley | Military Health Care Provider | 5613 Bennion Ct, Honolulu, HI 96818-3224 | 2013-04-11 |
| 1154641371 | Uss Pasadena(ssn752) | Military Health Care Provider | 888 Murray Dr, Honolulu, HI 96818-3721 | 2010-06-10 |
| 1043546104 | Terrence Anthony Dugay I | Military Health Care Provider | 5090 Likini St, East Tower Unit# 1502, Honolulu, HI 96818 | 2009-10-26 |
| 1073725701 | James Payne | Military Health Care Provider | 1956c Gillespie Cir, Honolulu, HI 96818 | 2007-05-04 |
| 1609088830 | Michael James Bagley | Military Health Care Provider | 4922 Kamehameha Loop, Honolulu, HI 96818-5033 | 2007-05-03 |
| 1962522128 | Darwin Santiago Ramos | Military Health Care Provider | 528 Mananai Pl, Unit 16a, Honolulu, HI 96818-5339 | 2007-03-30 |
| 1841347929 | John A Thornton | Military Health Care Provider | 3168 Snyder Ct, Honolulu, HI 96818-3653 | 2007-01-04 |
| 1902993967 | John Thomas Diem | Military Health Care Provider | 2275 Doris Miller Loop Apt C, Honolulu, HI 96818-3688 | 2006-10-09 |
| 1891739496 | Darrin Ernest Way | Military Health Care Provider | 2821 Anderson Ave, Honolulu, HI 96818 | 2006-06-15 |
| 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.