JASON M. ELLWOOD DO – NPI #1265906721
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JASON ELLWOOD is a physician located in KAILUA, HI. NPPES has assigned the NPI number 1265906721 to JASON ELLWOOD on January 17, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Aug 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JASON ELLWOOD below.

NPI Profile for
JASON M. ELLWOOD

NPI Number
1265906721
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JASON M. ELLWOOD
Credentials
DO
Primary location
6905 HARRIS AVENUE
KAILUA, HI 96734
Phone: (850) 505-6601 Fax:
1 Other location(s):
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone: (808) 257-3365
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Aug 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0102206240
390200000X
- Student in an Organized Health Care Education/Training Program
171000000X
- Military Health Care Provider
VA 0102206240

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.