MR. JOSEPH DAVID MATTHEWS III (NPI# 1760444681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760444681 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH DAVID MATTHEWS III |
| Credential | IDC |
| Practice Address |
4711 Nevada St Honolulu HI 96818-5071 |
| Mailing Address |
1430 Morton St Bldg 619 Pearl Harbor HI 96860-4664 |
| Practice Telephone | 8087442510 |
| Mailing Telephone | 8084731479 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437556156 | Joseph Daniel Matthews | Spec/Tech, Cardiovascular | 65 Nielson St, 101, Watsonville, CA 95076-2491 | 2014-11-24 |
| 1750461661 | Joseph Moore Matthews | Surgery | 2 Governors Lane, Suite A, Chico, CA 95926 | 2006-10-16 |
| 1619947470 | Joseph William Matthews | Allergy & Immunology | 11614 Huron Ln, Suite A, Little Rock, AR 72211-1834 | 2006-01-25 |
| 1710984695 | Joseph Dudley Matthews Jr. | Dentist | 4781 E Camp Lowell Dr Ste 101, Tucson, AZ 85712 | 2005-07-07 |
| 1386815967 | Joseph Charles Matthews | Physical Therapist | 3148 Broadway, Suite 302, Grove City, OH 43123-1781 | 2008-03-21 |
| 1427269679 | Joseph Michael Matthews | Emergency Medicine | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 | 2007-05-26 |
| 1326124827 | Joseph G. Matthews II | Orthopaedic Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1235101593 | Joseph Ignatius Matthews | Internal Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2006-02-02 |
| Street Address |
4711 NEVADA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96818-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
| 1497227979 | Melanie Fujii | Behavior Technician | 4510 Salt Lake Boulevard, Suite D-8, Honolulu, HI 96818 | 2018-12-21 |
| 1174016687 | Kerestin Elizabeth Walker | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96818 | 2018-06-08 |
| 1598272411 | Juli K Kaaihue | Behavior Technician | 4510 Salt Lake Blvd., D-8, Honolulu, HI 96818 | 2017-12-30 |
| 1861904864 | Joanna Wolford | Licensed Practical Nurse | 1514 Makalapa Drive, Apo, AA 96818 | 2017-10-30 |
| 1093232662 | Lorri Kim Gomes | Social Worker | 1147 Ala Napunani St., #206, Honolulu, HI 96818 | 2017-08-24 |
| 1871960278 | Cassandra Fisher | Speech-Language Pathologist | 202a Beard Ave, Honolulu, HI 96818 | 2015-09-01 |
| 1689073959 | Eanah Whaley | Psychologist | 750 Signer Blvd Bldg 554, Honolulu, HI 96818 | 2014-08-22 |
| 1346599214 | Hawaii Mobility | Durable Medical Equipment & Medical Supplies | 4355 Lawehana #8, Honolulu, HI 96818 | 2012-09-06 |
| 1326303181 | Evelyn Ogami-glary | Massage Therapist | 1780 Bougainvillea Lp, Physical Fitness Center Aliamanu Military Reservation, Honolulu, HI 96818 | 2012-07-09 |
| Find all providers in zip 96818 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700263001 | Daniel Joseph Engelhardt | Military Health Care Provider | 5435 Kilmer Ln, Honolulu, HI 96818-3467 | 2015-05-06 |
| 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 |
| 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.