MR. DANIEL JOSEPH ENGELHARDT


Address: 5435 Kilmer Ln, Honolulu, HI 96818-3467
Phone: 8084713312

MR. DANIEL JOSEPH ENGELHARDT (NPI# 1700263001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700263001
Entity Type Individual
Full Name MR. DANIEL JOSEPH ENGELHARDT
Credential IDC
Practice Address 5435 Kilmer Ln
Honolulu
HI 96818-3467
Practice Telephone 8084713312
Enumeration Date 2015-05-06
Last Update Date 2015-12-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 5435 KILMER LN
City HONOLULU
State HI
Zip Code 96818-3467

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City HONOLULU
Zip Code 96818

Improve Information

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Dataset Information

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.

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