JON KINGSLEY LATTIMER (NPI# 1578570248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578570248 |
| Entity Type | Individual |
| Full Name | JON KINGSLEY LATTIMER |
| Credential | M.D. |
| Practice Address |
81-6627 Mamalahoa Highway Suite 106 Kealakekua HI 96750 |
| Mailing Address |
Po Box 5308 Kailua Kona HI 96745-5308 |
| Practice Telephone | 8083232136 |
| Practice Fax Number | 8083232138 |
| Mailing Telephone | 8083232136 |
| Mailing Fax Number | 8083232138 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 3814 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 04591301 | 05 |
| Street Address |
81-6627 MAMALAHOA HIGHWAY SUITE 106 |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659772762 | Big Island Urology & Andrology | Urology | 75-184 Hualalai Rd Ste 200, Kailua Kona, HI 96740-1719 | 2014-09-08 |
| 1043630726 | Andrew Jordan Sun | Urology | 1329 Lusitana St Ste 406, Honolulu, HI 96813-2412 | 2014-04-22 |
| 1750721171 | Thomas Yutaka Ito | Urology | 1850 Laukahi St, Honolulu, HI 96821-1361 | 2013-06-29 |
| 1790022804 | Hawaii Urological Institute | Urology | 91-2139 Fort Weaver Rd Ste 205, Ewa Beach, HI 96706-3608 | 2013-01-09 |
| 1235481185 | Island Urology Oahu LLC | Urology | 1329 Lusitana St Ste 602, Honolulu, HI 96813-2431 | 2012-10-02 |
| 1619276623 | James H Stewart | Urology | 155 Ohana St, Kailua, HI 96734-2351 | 2011-03-17 |
| 1053614388 | Eugene T Tanabe Md Inc | Urology | 98-1079 Moanalua Rd Ste 460, Aiea, HI 96701-4723 | 2010-12-08 |
| 1790085595 | Herbert Kw Chinn M D Inc | Urology | 1329 Lusitana St Ste 108, Honolulu, HI 96813-2401 | 2010-10-26 |
| 1912216599 | David A Kuchenbecker Md, Inc | Urology | 30 Aulike St Ste 602, Kailua, HI 96734-2752 | 2010-09-30 |
| 1659686020 | J. Glenn Haines, M.d., Inc. | Urology | 1830 Wells St Ste 101, Wailuku, HI 96793-2365 | 2010-08-10 |
| Find all providers with the same taxonomy | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
Please comment or provide details below to improve the information on JON KINGSLEY LATTIMER.
| 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.