Jonathan W. Allen, M.D., Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD-13915 Issued in HI

Legal business name

JONATHAN W. ALLEN, M.D., INC.

Practice address

135 S Wakea Ave
Suite #101
Kahului, HI 96732-1385

Phone

(808) 871-8878

Fax

(808) 871-8867

NPI assigned

Jul 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan W Allen, M.D.

Title

Owner

Phone

(808) 871-8878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831397546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "address_2": "SUITE #101",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "808-871-8878",
            "fax_number": "808-871-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "address_2": "SUITE #101",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "808-871-8878",
            "fax_number": "808-871-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN W. ALLEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-871-8878",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD-13915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Cardiovascular Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.