1528021862 NPI number — JASON T CALL MD

Table of content: JASON T CALL MD (NPI 1528021862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528021862 NPI number — JASON T CALL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CALL
Provider First Name:
JASON
Provider Middle Name:
T
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1528021862
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
85 MAUI LANI PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAILUKU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96793-2416
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-442-5700
Provider Business Mailing Address Fax Number:
855-827-2321

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 MAUI LANI PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAILUKU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96793-2416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-442-5700
Provider Business Practice Location Address Fax Number:
855-827-2321
Provider Enumeration Date:
04/08/2006

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:  22033 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 0101237735 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0011X , with the licence number: 0101237735 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0011X , with the licence number: 22033 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0011X , with the licence number: 23299 , 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)

  • Identifier: 9332051 . This is a "WV MEDICARE GRP-OLD" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 010186099 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 176481 . This is a "ANTHEM PROFESSIONAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3810003816 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00844458 . This is a "RR MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 001727254 . This is a "WV BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3810003817 . This is a "WV MEDICAID GROUP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 94909 . This is a "SENTARA PROFESSIONAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2131008 . This is a "MAMSI PROFESSIONAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 550941600 . This is a "MD MEDICAID GROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 412140600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000875693 . This is a "WV BLUE SHIELD GROUP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 9371521 . This is a "WV MEDICARE GRP-NEW" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: C00085 . This is a "VA MEDICARE B - GROUP #" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com