Active NPIIndividual provider

Dr. Jonathan B Redenbaugh, DO

Emergency Medicine in Wailuku, Hawaii

NPI Number1366586562
Practice location
55 Maui Lani Pkwy, Wailuku, HI 96793-2416
Fax
—
Last updated
July 21, 2022

Jonathan B. Redenbaugh is an Emergency Medicine based in Wailuku, HI. Jonathan B. Redenbaugh practices in Wailuku, HI and has the professional credentials of DO. The NPI Number for Jonathan B. Redenbaugh is 1366586562 and holds a License No. 045109 (CT). The current practice location address for Jonathan B. Redenbaugh is 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 and can be reached out via phone at 808-243-6000.

Provider Profile Details

NPI Number
1366586562
Provider Name
Jonathan B. Redenbaugh
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
55 Maui Lani Pkwy, Wailuku, HI 96793-2416
Phone Number
808-243-6000
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2007
Last Update Date
July 21, 2022
Certification Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Maui Lani Pkwy
Wailuku, HI 96793-2416
State
Hawaii
Zip
96793-2416
Phone Number
808-243-6000
Wailuku, HI 96793Get directions →

Provider Business Mailing Address Details

Address
55 Maui Lani Pkwy
Wailuku, HI 96793-2416
City
Wailuku
State
HI
Zip
96793-2416
Phone Number
808-243-6050

License Information

License Number
045109
License State
CT
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan B Redenbaugh, DO?

The NPI number of Dr. Jonathan B Redenbaugh, DO is 1366586562. It was assigned on February 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan B Redenbaugh, DO?

Dr. Jonathan B Redenbaugh, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 045109.

Where does Dr. Jonathan B Redenbaugh, DO practice?

The practice location is 55 Maui Lani Pkwy, Wailuku, HI 96793-2416. The office can be reached at 808-243-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366586562 directly on the NPPES registry website.

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