DR. JASON MARK ELLWOOD DO
NPI 1265906721
General Practice in Kailua, HI

Q: What is Jason Ellwood's NPI number?

The NPI number for Jason Ellwood is 1265906721. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Q: What is Jason Ellwood's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Ellwood was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2019

6905 HARRIS AVENUE, KAILUA, HI 96734(850) 505-6601 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2023, Apr 25, 2022, Jun 21, 2021 and 3 more (6 updates tracked since 2019).

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About Dr. Jason Mark Ellwood Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON MARK ELLWOOD DO (NPI 1265906721) is an individual general practice provider in Kailua, Hawaii, licensed in Virginia (0102206240) and active in the NPI registry since January 2019. He maintains a secondary practice location in Pearl Harbor.

NPPES Registry Identity

NPI1265906721

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JASON MARK ELLWOODCredential: DO

Location Address6905 HARRIS AVENUEKailua, HI 96734

Mailing Address6905 Harris AvenueKailua, HI 96734

Phone(850) 505-6601

Sole ProprietorYes

Enumeration DateJanuary 17, 2019

Last NPPES UpdateAugust 18, 20236 updates tracked since enumeration

NPPES CertifiedAugust 16, 2023

✔ NPI 1265906721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102206240

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0102206240 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6905 HARRIS AVENUE, Kailua, HI 96734

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Secondary Practice Location 1

Location 1480 Central AvePearl Harbor, HI 96860-4908 · Phone (808) 257-3365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Ellwood's NPI number?

The NPI number for Jason Ellwood is 1265906721. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Jason Ellwood located?

Jason Ellwood practices at 6905 Harris Avenue, Kailua, HI 96734. The listed phone number is (850) 505-6601.

What is Jason Ellwood's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jason Ellwood was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.