Organization Active NPI

Jasdo, Inc.

  • Family Medicine Physician
  • Kailua-Kona, HI
National Provider Identifier
1508332610
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jean A Swift, DONPI 1285757690
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20190206000589 HI Part B Supplier - Clinic/Group Practice 1355689944 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.