Active NPI
Jasdo, Inc.
- Family Medicine Physician
- Kailua-Kona, HI
National Provider Identifier
1508332610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JASDO, INC.
- Practice address
- 73-4330 Keo Keo Street
Kailua-Kona, HI 96745 - Phone
- (808) 887-6668
- Fax
- (808) 887-0169
- NPI assigned
- Oct 16, 2018
- 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
- Dr. Jean A Swift, DO
- Title
- President
- Phone
- (808) 887-6668
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
73-4330 Keo Keo Street
Kailua-Kona, HI 96745
Mailing address
75-5660 Kopiko St Ste C7-350
Kailua Kona, HI 96740-3611
Phone (808) 887-6668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
75-5660 Kopiko St
Ste C7350
Kailua Kona, HI 96740
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kamuela, HI
- NPI 1285757690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539648000000",
"number": "1508332610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5660 KOPIKO ST STE C7-350",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403611",
"telephone_number": "808-887-6668",
"fax_number": "808-887-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73-4330 KEO KEO STREET",
"city": "KAILUA-KONA",
"state": "HI",
"postal_code": "96745",
"telephone_number": "808-887-6668",
"fax_number": "808-887-0169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASDO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A",
"authorized_official_last_name": "SWIFT",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-887-6668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua-Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.