Individual provider Active NPI

Christopher Gordon Yheulon, M.D.

  • Surgery Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1770894602
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD16122 Issued in HI
Practice address
1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-1076
NPI assigned
Jun 25, 2010
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD16122 HI Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170324000304 OR Practitioner - General Surgery 5092090589 Reassigns benefits to 2 organizations
I20220117000315 HI Practitioner - General Surgery 5092090589 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16122HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Jan 23, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Surgery Current Accepting new patients
Pali Momi Medical Center CurrentSince Jan 24, 2022 Accepting new patients
Straub Clinic & Hospital CurrentSince Nov 12, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Nov 12, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 13, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Pali Momi Medical Center CurrentSince Jan 24, 2022 Accepting new patients
Silverton Health CurrentSince Jan 23, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 13, 2023 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

9900 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-8240

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Interoperability endpoints

  • Direct secure messaging: cyheulon196384@direct.lhs.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1770894602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YHEULON",
        "first_name": "CHRISTOPHER",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD16122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.