Active NPI
Jon F Graham MD LLC
- Ambulatory Surgical Clinic/Center
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- JON F GRAHAM MD LLC
- Practice address
- 1441 Kapiolani Blvd Ste 2020
Honolulu, HI 96814-4408 - Phone
- (808) 550-4939
- Fax
- (808) 550-2842
- NPI assigned
- Mar 14, 2008
- Last updated
- May 9, 2024
- 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
- Jon F Graham, MD
- Title
- President
- Phone
- (808) 550-4939
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd Ste 2020
Honolulu, HI 96814-4408
Mailing address
1380 Lusitana St Ste 502
Honolulu, HI 96813-2441
Phone (808) 550-4939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024320 | Medicaid | HI |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Honolulu Sports & Spine Surgery Center
- Ambulatory Surgical Clinic/Center
- Honolulu, HI
- NPI 1093830325
Member Of
Locations
1380 Lusitana St
Ste 407
Honolulu, HI 96813
Phone (808) 523-8833
2065 Main St
Ste 112
Wailuku, HI 96793
Phone (808) 550-4939
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1700847084
-
- Family Nurse Practitioner
- Honolulu, HI
- NPI 1437584729
-
- Family Nurse Practitioner
- Honolulu, HI
- NPI 1760867154
-
- Family Nurse Practitioner
- Honolulu, HI
- NPI 1235863317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1386815603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST STE 502",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132441",
"telephone_number": "808-550-4939",
"fax_number": "808-550-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 2020",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144408",
"telephone_number": "808-550-4939",
"fax_number": "808-550-2842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON F GRAHAM MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-550-4939",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024320",
"state": "HI"
}
],
"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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.