VANCE L FLETCHER MD LLC (NPI# 1740324201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740324201 |
| Entity Type | Organization |
| Organization Name | VANCE L FLETCHER MD LLC |
| Practice Address |
91-2139 Fort Weaver Rd Suite 311 Ewa Beach HI 96706-3607 |
| Practice Telephone | 8086713715 |
| Practice Fax Number | 8086772027 |
| Mailing Telephone | 8086713715 |
| Mailing Fax Number | 8086772027 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | DR. VANCE L FLETCHER (CEO) |
| Authorized Official Telephone | 8086713715 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
13964 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 589012 | 05 |
| Street Address |
91-2139 FORT WEAVER RD SUITE 311 |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787729 | Russell S Kelly | Internal Medicine | 91-2139 Fort Weaver Rd, Suite 300, Ewa Beach, HI 96706-3607 | 2005-08-10 |
| 1255876660 | West Oahu Medical Genetics, LLC | Clinic/Center | 91-2139 Fort Weaver Rd, Ste 100, Ewa Beach, HI 96706-3607 | 2016-12-21 |
| 1972942118 | West Oahu Primary Care LLC | Clinic/Center | 91-2139 Fort Weaver Rd, Suite 213, Ewa Beach, HI 96706-3607 | 2013-06-20 |
| 1073881009 | Richard S Oh Md LLC | Clinic/Center | 91-2139 Fort Weaver Rd, Suite 309, Ewa Beach, HI 96706-3607 | 2011-12-05 |
| 1720378664 | Yongsok Do, D.m.d., L.l.c | Dentist | 91-2139 Fort Weaver Rd, Suite 301, Ewa Beach, HI 96706-3607 | 2011-04-12 |
| 1720393937 | Charles A. Wilson D.o., LLC | Family Medicine | 91-2139 Fort Weaver Rd, Suite 213, Ewa Beach, HI 96706-3607 | 2010-08-11 |
| 1659603884 | James H.e. Ireland Md, LLC | Internal Medicine | 91-2139 Fort Weaver Rd, #100, Ewa Beach, HI 96706-3607 | 2010-02-15 |
| 1922249861 | Kristen R N Vail | Physical Therapist | 91-2139 Fort Weaver Rd, Ste 210, Ewa Beach, HI 96706-3609 | 2009-03-23 |
| 1578722245 | Howard F. Neudorf, M.d. | Clinic/Center | 91-2139 Fort Weaver Rd, Suite 213, Ewa Beach, HI 96706-3607 | 2008-06-06 |
| 1003006198 | Laura C Miller | Psychiatry & Neurology | 91-2139 Fort Weaver Rd, Pob Suite 101, Ewa Beach, HI 96706-3607 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043745334 | Benjamin Schnakenberg | Family Medicine | Nmrtcph, 480 Central Avenue, Joint Base Pearl Harbor Hickam, HI 96860-4908 | 2017-04-25 |
| 1821410473 | Robert Fyrberg | Family Medicine | 2459 Parker Pl, Honolulu, HI 96822-1972 | 2014-01-16 |
| 1699025924 | Jeffrey Curtis Goodman | Family Medicine | 5454 Kahiliholo Road, Kilauea, HI 96754 | 2012-09-13 |
| 1780858415 | James Donald Gallup | Family Medicine | 2937 Hibiscus Pl, Honolulu, HI 96815-4727 | 2008-04-14 |
| 1821538372 | Maria Theresa F. Villa, M.d. LLC | Family Medicine | 634 Kalihi St, Honolulu, HI 96819-4000 | 2017-03-03 |
| 1295078327 | Maria Theresa Flores Villa | Family Medicine | 634 Kalihi St, Honolulu, HI 96819-4000 | 2013-03-27 |
| 1376734806 | Javaid Akhter | Family Medicine | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2007-08-08 |
| 1962544122 | Mary Katherine Warren | Family Medicine | 75-5995 Kuakini Hwy, Suite 211, Kailua Kona, HI 96740-2144 | 2007-02-13 |
| 1083790653 | Gayland D.k. Yee | Family Medicine | 221 Piikea Ave # A, Kihei, HI 96753-8268 | 2006-10-27 |
| 1982790655 | Robert A. Bird | Family Medicine | 53 S Puunene Ave, Kahului, HI 96732-2192 | 2006-10-04 |
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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.