Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 042-0011342 | VT |
N | 204F00000X | Transplant Surgeon | 056250 | GA |
Y | 204F00000X | Transplant Surgeon | 17065 | HI |
NPI | 1720006810 |
---|---|
Provider Name | Dr. Jon Steven Yamaguchi |
First Address | Honolulu, HI 96813-2414 |
Second Address | Honolulu, HI 96813-2414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 11/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
186165877B | WELFARE ID (01) | GA |
19798A001 | (02) | GA |
2549145 | UNITED HEALTHCARE OF GA (01) | GA |
3985266 | AETNA HMO (01) | GA |
582030692 | CIGNA PPO (01) | GA |
6799024001 | CIGNA HMO (01) | GA |
7553699 | AETNA PPO (01) | GA |
930180 | BLUE SHIELD (01) | GA |
Y 20050801 | PRIVATEHEALTHCARE SYSTEMS (01) | GA |