DR. ELEANE MARIE BEADLE (NPI# 1528278074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528278074 |
| Entity Type | Individual |
| Full Name | DR. ELEANE MARIE BEADLE |
| Other Name | ELEANE LIESEMER |
| Credential | MD |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Honolulu HI 96859-5001 |
| Practice Telephone | 8084336661 |
| Practice Fax Number | 2539685926 |
| Mailing Telephone | 8084336661 |
| Mailing Fax Number | 2539685926 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
24031 | NE | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 24031 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | NONE | 01 |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER |
| City | HONOLULU |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295935 | Christina Alison Lewis | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center Pain Clinic 9th Floor Cwing, Honolulu, HI 96859-5000 | 2020-02-03 |
| 1770093650 | Matthew Reggio | Nurse Anesthetist, Certified Registered | 1 Jarrett White Rd, Honolulu, HI 96259 | 2017-10-05 |
| 1477980878 | Jonathan Su | Physical Therapist | 1 Jarrett White Rd, Attn: Physical Therapy, Honolulu, HI 96859 | 2013-09-30 |
| 1285900712 | Kawika Alex Maskell | Physician Assistant | 1 Jarrett White Rd, Honolulu, HI 96789 | 2012-03-29 |
| 1184869141 | Cristian Samuel Madar | Internal Medicine | 1 Jarrett White Rd, Honolulu, HI 96859 | 2008-12-04 |
| 1275781171 | Tripler Army Medical Center | Clinic/Center | 1 Jarrett White Rd, Honolulu, HI 96859 | 2008-09-04 |
| 1881840759 | Richelle Miki Cardwell | Pharmacist | 1 Jarrett White Rd, Honolulu, HI 96819-0002 | 2008-08-12 |
| 1629237961 | Michael Jonathan Keiji Shigemasa | Anesthesiology | 1 Jarrett White Rd, Honolulu, HI 96859-5001 | 2008-06-02 |
| 1083813901 | Joseph Sterbis | Urology | 1 Jarrett White Rd, Urology Clinic, Honolulu, HI 96822 | 2007-07-11 |
| 1508060161 | Ryan Fitz Gibbons | Anesthesiology | 1 Jarrett White Rd, Dept of Anesthesiology, Honolulu, HI 96859-5000 | 2007-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740387273 | Venkataraman Balaraman | Pediatrics | 1319 Punahou St Rm 750, Honolulu, HI 96826-1001 | 2006-09-19 |
| 1255568440 | Kara Noelani Wong Ramsey | Pediatrics | 1319 Punahou St Fl 7, Honolulu, HI 96826-1001 | 2009-06-16 |
| 1265672471 | Emmanuel Ramirez Enriquez Kling | Pediatrics | 1 Jarrett White Road Tripler Army Medical Center, Neonatal Intensive Care Unit, Honolulu, HI 96859-5000 | 2009-02-27 |
| 1972760908 | Lois Dang Chiu | Pediatrics | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2008-05-19 |
| 1548437957 | Milette Balbin Oliveros | Pediatrics | 1319 Punahou St, Nicu, Honolulu, HI 96826-1001 | 2008-05-14 |
| 1558543868 | Prakash Muttanna Kabbur | Pediatrics | 1319 Punahou St, Neonatology, Honolulu, HI 96826-1001 | 2007-11-28 |
| 1588874481 | Joan Ceccarelli Meister | Pediatrics | 1319 Punahou St, Honolulu, HI 96826-1001 | 2007-05-22 |
| 1568687267 | David Easa | Pediatrics | 1319 Punahou Street, Honolulu, HI 96826 | 2007-04-16 |
| 1902943269 | Tiong Tjoeng | Pediatrics | 1319 Punahou St, Honolulu, HI 96826-1001 | 2007-01-30 |
| 1801950613 | Stephen N Wall | Pediatrics | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-12-19 |
| 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.