1184694432 NPI number — DR. JONE GEIMER FLANDERS DO

Table of content: KRISTINA E DRAPER CRNA (NPI 1215904057)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184694432 NPI number — DR. JONE GEIMER FLANDERS DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GEIMER FLANDERS
Provider First Name:
JONE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLANDERS
Provider Other First Name:
JONE
Provider Other Middle Name:
GEIMER
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1184694432
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 JARRETT WHITE ROAD
Provider Second Line Business Mailing Address:
DEPARTMENT OF MEDICINE
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-433-5087
Provider Business Mailing Address Fax Number:
888-850-0978

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 JARRETT WHITE ROAD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-5087
Provider Business Practice Location Address Fax Number:
888-850-0978
Provider Enumeration Date:
01/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  J4117 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: DOS1136 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)