Jackson Friedman D.O .PLLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1397 Issued in HI

Legal business name

JACKSON FRIEDMAN D.O .PLLC

Practice address

100 Keokea PL
Kula, HI 96790-7450

Phone

(808) 354-1698

NPI assigned

Feb 25, 2009

Last updated

Jan 10, 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

Jackson Friedman, DONPI 1457419228

Title

Physician

Phone

(808) 354-1698

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackson Friedman, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kula, HI
  • NPI 1457419228
  Authorized official Same address or phone

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1982844304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967900840",
            "telephone_number": "808-354-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-354-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FRIEDMAN D.O .PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-354-1698",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "HI",
            "license": "1397",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "237180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Lima Physical Therapy LLC
• Kristine Ho, LSW, ACSW
• Mary Hutto, RPT
• Iao Mind & Body Health, LLC
• Haunani M. Iao, PSY.D
• Francine Beth Johansen
• Sisi Johnson, OTR/L
• Jo Anne King, LCSW
• Janette Kofler, MSN, RN
• KPT Corporation (Kula Physical Therapy)

• Neuromusculoskeletal Medicine & OMM Physician in Kula, HI
• Providers in Kula, HI by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.