John Alois Kustermann

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13753-20 Issued in WI

Practice address

490 Central Avenue BLDG 281
Honolulu Military Entrance Processing Station
Pearl Harbor, HI 96860

Phone

(808) 471-8725

Fax

(808) 474-8553

NPI assigned

Jul 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1982057816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CENTRAL AVENUE BLDG 281",
            "address_2": "HONOLULU MILITARY ENTRANCE PROCESSING STATION",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "96860",
            "telephone_number": "808-471-8725",
            "fax_number": "808-474-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CENTRAL AVENUE BLDG 281",
            "address_2": "HONOLULU MILITARY ENTRANCE PROCESSING STATION",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "96860",
            "telephone_number": "808-471-8725",
            "fax_number": "808-474-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSTERMANN",
        "first_name": "JOHN",
        "middle_name": "ALOIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "13753-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Koseck, PA-C
• Laura Kosky, RN
• Michelle Koster, PSYD
• Joseph Michael Kozakiewicz, IDC
• Jessica Kurtz, BSN, RN-BC
• Lisa J Lakin, IDC
• Anne Marie Lamb, D.M.D.
• Maria Esperanza Cruz Landro, RN
• Alanna Lanham
• Keith Allen Laubinger, IDC/RHO

• Family Medicine Physician in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.