Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON MARK ELLWOOD, DO
Active Sole ProprietorDR. JASON MARK ELLWOOD, DO is a General Practice healthcare provider located in KAILUA, Hawaii. NPI 1265906721 is currently active in the NPPES registry. Verify at CMS.
General Practice · KAILUA, HI
Registration Details
- NPI Number
- 1265906721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2019 (7.5602296075967 yrs)
- Last Updated
- Aug 18, 2023
- Licenses
-
0102206240 (VA)0102206240 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6905 HARRIS AVENUEKAILUA, HI, 96734Browse HI providers · Browse ZIP 96734
- Phone
- 8505056601
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Practice
Other General Practice Providers in KAILUA, HI
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH J FILBECK | M.D. | 1295875680 |
| DR. MAX M FREED | M.D. | 1528384542 |
| DR. ALEXANDER STANTON JAHNCKE | MD | 1184185894 |
| BAILEY WILLIAM CORSON | MD | 1790361913 |
| TYLER MASON GLENDRANGE | MD | 1720731623 |
| DR. JOHN WALTER COOK | MD | 1629726245 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.