1952443079 NPI number — GARDNER C QUARTON JR. MD INC.

Table of content: DR. JULIA ANN KASEMAN D.O. (NPI 1679884381)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952443079 NPI number — GARDNER C QUARTON JR. MD INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARDNER C QUARTON JR. MD INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952443079
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4520 KUKUI ST STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KAPAA
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96746-1770
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-821-2707
Provider Business Mailing Address Fax Number:
808-821-2803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4520 KUKUI ST STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAPAA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96746-1770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-821-2707
Provider Business Practice Location Address Fax Number:
808-821-2803
Provider Enumeration Date:
02/13/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
QUARTON
Authorized Official First Name:
GARDNER
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-821-2707

Provider Taxonomy Codes

  • Taxonomy code: 261QS0132X , with the licence number:  MD4940 , 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)