Jac D Marden (NPI# 1548250277, PAC ID# 1254495542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1548250277 |
| PAC ID by PECOS | 1254495542 |
| Professional Enrollment ID | I20090202000161 |
| Full Name | Jac D Marden |
| Organization Legal Name | PACIFIC DERMATOLOGY INC |
| Address |
99 S Market St Suite 206 Wailuku HI 96793-2259 |
| Phone Number | 8082498600 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5698839983 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 99 S Market St, Suite 206, Wailuku, HI 96793-2259 | 8082498600 | PACIFIC DERMATOLOGY INC |
| 99 S Market St, Wailuku, HI 96793-2259 | 8082498600 | PACIFIC DERMATOLOGY INC |
| Organization Legal Name | PACIFIC DERMATOLOGY INC |
| Physicians | 1 |
| Street Address |
99 S MARKET ST SUITE 206 |
| City | WAILUKU |
| State | HI |
| Zip | 96793-2259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph K Kamaka Iii | Internal Medicine | 99 S Market St, Suite 202, Wailuku, HI 96793-2259 | |
| Steven King | Podiatry | 99 S Market St, Suite 104, Wailuku, HI 96793-2252 | |
| Luz P Medina | Obstetrics/gynecology | 99 S Market St, Suite 103, Wailuku, HI 96793-2252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | DERMATOLOGY |
| City + Specialty | WAILUKU + DERMATOLOGY |
Please comment or provide details below to improve the information on Jac D Marden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.