AMANDA MARN (NPI# 1790006286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790006286 |
| Entity Type | Individual |
| Full Name | AMANDA MARN |
| Other Name | AMANDA DUTTLINGER |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001 |
| Mailing Address |
300 W Hospital Rd Fort Gordon GA 30905-5741 |
| Practice Telephone | 8084336403 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | MD-20631 | HI | Other Service Providers |
| Street Address |
1 JARRETT WHITE RD |
| City | TRIPLER ARMY MEDICAL CENTER |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935732 | Aimee Chon | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-09-01 |
| 1275146755 | Alan Vazquez | Dentist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-08-25 |
| 1679181291 | Ben Chu | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-20 |
| 1740808328 | Tho Le | Nurse Anesthetist, Certified Registered | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-09 |
| 1609493410 | Julie Klaber | Psychologist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-06-26 |
| 1770107989 | John Solak | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-06-03 |
| 1588287643 | Maggie E Scribner | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-24 |
| 1558983536 | Sara Michelle Allen-dutcher | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-12 |
| 1235750944 | John Francis Schumacher | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-04 |
| 1417578451 | Lauren Williams | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181291 | Ben Chu | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-20 |
| 1386897833 | Yoko Anctil | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408543 | Hung Tran | Military Health Care Provider | 1897 Ranger Loop, Bldg 184, Honolulu, HI 96818-5072 | 2019-10-10 |
| 1043702327 | Brett Kaplan | Military Health Care Provider | Desmond Doss Health Clinic, Building 683 (3rd Battalion Clinic), Schofield Barracks, HI 96876 | 2018-06-03 |
| 1710488614 | Corey J Badgett | Military Health Care Provider | 490 Central Ave, Pearl Harbor, HI 96860-4958 | 2018-02-26 |
| 1548439078 | Charles E Bilbo | Military Health Care Provider | 91-1184 Lukahiu Pl, Ewa Beach, HI 96706-4503 | 2008-02-28 |
| 1871785295 | Ronald Walter Sowa | Military Health Care Provider | 1370 Hiahia St, Wailuku, HI 96793-9700 | 2007-08-10 |
| 1578521670 | Lam H. Le | Military Health Care Provider | 98-1024 Palula Way, Aiea, HI 96701-2823 | 2006-05-01 |
| 1326029000 | Sherrie Sue Woods | Military Health Care Provider | 91-1680 Alaiki St, Ewa Beach, HI 96706-2000 | 2005-11-09 |
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1881151348 | Catherine Moulton | Military Health Care Provider | 490 Central Ave, Jbphh, HI 96860-4958 | 2019-02-20 |
| 1548639115 | Pollyanna Palhano | Military Health Care Provider | 480 Central Ave, Naval Health Clinic Hawaii, Pearl Harbor, HI 96860-4908 | 2015-09-24 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER ARMY MEDICAL CENTER |
| Zip Code | 96859 |
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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.