Provider Demographics
NPI:1366440901
Name:JAMES, JONATHAN B (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:B
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 NUUANU AVE
Mailing Address - Street 2:#1504
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5601
Mailing Address - Country:US
Mailing Address - Phone:808-557-0000
Mailing Address - Fax:866-257-2762
Practice Address - Street 1:1031 NUUANU AVE
Practice Address - Street 2:#1504
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5601
Practice Address - Country:US
Practice Address - Phone:808-557-0000
Practice Address - Fax:866-257-2762
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUMD3580207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI042657-01Medicaid
HI4711-8OtherHMSA
HI0000BDHRQMedicare ID - Type Unspecified