Active NPI
Jack Jie Zhou MD Inc.
- Primary Care Clinic/Center
- Honolulu, HI
National Provider Identifier
1295916112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 9020
- Legal business name
- JACK JIE ZHOU MD INC.
- Practice address
- 100 N Beretania St Ste 104
Honolulu, HI 96817-4768 - Phone
- (808) 538-6532
- NPI assigned
- Nov 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Zhou, MD
- Title
- President
- Phone
- (808) 538-6532
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9020 | HI | |
| Primary Care Clinic/Center | 261QP2300X | 9020 | HI | Primary |
Addresses
Primary practice location
100 N Beretania St Ste 104
Honolulu, HI 96817-4768
Mailing address
100 N Beretania St Ste 104
Honolulu, HI 96817-4768
Phone (808) 538-6532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 N Beretania St
Ste 104
Honolulu, HI 96817
Phone (808) 538-6532
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1265402168
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1629274212
-
- Infectious Disease Physician
- Honolulu, HI
- NPI 1457350985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498176000000",
"number": "1295916112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BERETANIA ST STE 104",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174768",
"telephone_number": "808-538-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BERETANIA ST STE 104",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174768",
"telephone_number": "808-538-6532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACK JIE ZHOU MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2017-06-23",
"status": "A",
"authorized_official_last_name": "ZHOU",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-538-6532",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "HI",
"license": "9020",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "HI",
"license": "9020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.