JACKSON FRIEDMAN D.O .PLLC (NPI# 1982844304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982844304 |
| Entity Type | Organization |
| Organization Name | JACKSON FRIEDMAN D.O .PLLC |
| Practice Address |
100 Keokea Pl Kula HI 96790-7450 |
| Mailing Address |
Po Box 840 Kula HI 96790-0840 |
| Practice Telephone | 8083541698 |
| Mailing Telephone | 8083541698 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | JACKSON FRIEDMAN (PHYSICIAN) |
| Authorized Official Telephone | 8083541698 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 237180 | NY | Allopathic & Osteopathic Physicians |
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 1397 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
100 KEOKEA PL |
| City | KULA |
| State | HI |
| Zip Code | 96790-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904681 | Nicole M. Apoliona | Family Medicine | 100 Keokea Pl, Kula, HI 96790-7450 | 2005-07-07 |
| 1083181226 | Maui Health System A Kaiser Foundation Hospitals LLC | Medicare Defined Swing Bed Unit | 100 Keokea Pl, Kula, HI 96790-7450 | 2018-10-25 |
| 1881179216 | Maui Health System A Kaiser Foundation Hospitals LLC | Intermediate Care Facility, Mentally Retarded | 100 Keokea Pl, Kula, HI 96790-7450 | 2018-10-02 |
| 1891207205 | Taylor Lee Smith | Occupational Therapist | 100 Keokea Pl, Kula, HI 96790-7450 | 2017-10-26 |
| 1992227599 | Merrillee Millar | Occupational Therapist | 100 Keokea Pl, Kula, HI 96790-7450 | 2017-07-14 |
| 1922459726 | Maui Health System A Kaiser Foundation Hospitals LLC | Family Medicine | 100 Keokea Pl, Kula, HI 96790-7450 | 2016-06-23 |
| 1184079956 | Maui Health System A Kaiser Foundation Hospitals LLC | Nursing Facility/Intermediate Care Facility | 100 Keokea Pl, Kula, HI 96790-7450 | 2016-04-29 |
| 1861854226 | Maui Health System A Kaiser Foundation Hospitals LLC | General Acute Care Hospital | 100 Keokea Pl, Kula, HI 96790-7450 | 2016-03-24 |
| 1568849610 | Heidi Y. Lee | Family Medicine | 100 Keokea Pl, Kula, HI 96790-7450 | 2015-04-28 |
| 1861823031 | Kula Hospital | General Acute Care Hospital | 100 Keokea Pl, Kula, HI 96790-7450 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625114 | Tamuz Shiran | Marriage & Family Therapist | 20 Cooke Road, Kula, HI 96790 | 2019-12-04 |
| 1427547520 | Laura Vo | Social Worker | 27 Manu St, Kula, HI 96790 | 2018-05-03 |
| 1376945865 | Ragnhild Aasen Jenkins | Physical Therapist | 5281 Lower Kula Rd, Kula, HI 96790 | 2014-09-16 |
| 1740555721 | Johanna Waters | Massage Therapist | 19 Ululani St., Kula, HI 96790 | 2012-03-09 |
| 1326052705 | Geoffrey M. Murrish | Radiology | 7775 Kula Highway, Kula, HI 96790 | 2006-07-28 |
| 1043776974 | Laura Sue Heller | Behavior Technician | 4450 Kula Hwy # 360, Kula, HI 96790-3100 | 2019-02-15 |
| 1316138852 | Naomi Noelani Carreno | Dietitian, Registered | 37 Lauie Dr, Kula, HI 96790-7200 | 2007-08-08 |
| 1184042467 | Medical Nutrition Maui LLC | Dietitian, Registered | 37 Lauie Dr, Kula, HI 96790-7200 | 2014-04-03 |
| 1396086500 | Sisi Johnson | Occupational Therapist | 162 Lauie Dr, Kula, HI 96790-7212 | 2013-03-13 |
| 1649815010 | Aloha Occupational Therapy Services LLC | Occupational Therapist | 162 Lauie Dr, Kula, HI 96790-7212 | 2019-11-09 |
| Find all providers in zip 96790 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609140375 | Thomas L Shaver | Neuromusculoskeletal Medicine & OMM | 543760 Hanaula Apo Rd., Kapaau, HI 96755-1439 | 2012-02-28 |
| 1073838819 | Gerald Patrick Durkan | Neuromusculoskeletal Medicine & OMM | 1280 Kauhikoa Rd, Haiku, HI 96708-5830 | 2010-04-05 |
| 1720190929 | Kauai Osteopathic, Inc | Neuromusculoskeletal Medicine & OMM | 3483 Weliweli Rd, Koloa, HI 96756-8546 | 2006-09-01 |
| 1003870403 | Roselia Schlichtig Conrad | Neuromusculoskeletal Medicine & OMM | 77-6539 Alii Dr B, Kailua-kona, HI 96740 | 2006-04-13 |
| 1205195039 | Luthien LLC | Neuromusculoskeletal Medicine & OMM | 970 N Kalaheo Ave, Suite #109, Kailua, HI 96734-1866 | 2012-05-14 |
| 1770717837 | Eun Kyong Strawser | Neuromusculoskeletal Medicine & OMM | 970 N Kalaheo Ave, Suite #c109, Kailua, HI 96734-1866 | 2009-05-05 |
| 1730263419 | Karen Elizabeth Sept | Neuromusculoskeletal Medicine & OMM | 970 N Kalaheo Ave, Suite C-207, Kailua, HI 96734-1801 | 2006-10-25 |
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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.