MICHEAL CRAIG JACKSON (NPI# 1588890412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588890412 |
| Entity Type | Individual |
| Full Name | MICHEAL CRAIG JACKSON |
| Practice Address |
1301 Punchbowl St Honolulu HI 96813-2402 |
| Practice Telephone | 8085474221 |
| Practice Fax Number | 8085377896 |
| Mailing Telephone | 8085474221 |
| Mailing Fax Number | 8085377896 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520614 | Micheal Jackson | Counselor | 1705 Felicia Ave, Tallulah, LA 71282-8203 | 2016-10-26 |
| Street Address |
1301 PUNCHBOWL ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612764 | The Queen's Medical Center | Psychiatric Unit | 1301 Punchbowl St, Honolulu, HI 96813 | 2005-10-07 |
| 1104426774 | Dana Monday | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-10-31 |
| 1104438654 | Jennifer Nguyen Lam | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-08-17 |
| 1497371470 | Maria Pimenova | Pathology | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-06-24 |
| 1972125235 | Scott Shokichi Amuro | Respiratory Therapist, Registered | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-05-09 |
| 1407485196 | Marvik Vasquez Fernandez | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-04-04 |
| 1851927198 | Tundra Nicole Weaver | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-03-18 |
| 1407487671 | Ashley Nicole Aquino Catapang | Physician Assistant | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-01-28 |
| 1750929253 | Cheryl Ann Afuso-sumimoto | Clinical Nurse Specialist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-12-15 |
| 1770126658 | Ann Frost | Physical Therapist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-10-23 |
| 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 | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932506797 | Norman Michael Trudell | Specialist/Technologist, Other | 1111 Piikoi St Apt 22a, Honolulu, HI 96814-1838 | 2014-11-21 |
| 1972730679 | Antonio Reyes | Specialist/Technologist, Other | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932649944 | Mary Tancig | Specialist/Technologist, Other | 115 E Lipoa St, Kihei, HI 96753-8182 | 2017-02-24 |
| 1841819661 | Christine Domingo | Specialist/Technologist, Other | 81 Central Ave, Wailuku, HI 96793-1723 | 2020-04-11 |
| 1649821737 | Christine Ann Hogue | Specialist/Technologist, Other | 22 Oneawa St Ste A, Kailua, HI 96734-2527 | 2019-09-20 |
| 1235430554 | Donald H Horner | Specialist/Technologist, Other | 1 Jarrett White Rd, Attn: Mchk-dso-a (3g812), Tripler Amc, HI 96859-5001 | 2010-11-03 |
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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.