JERRY W. BECKHAM MD NPI 1588699920

Emergency Medicine in Honolulu, HI

NPI 1588699920 Individual Male Emergency Medicine

About JERRY BECKHAM

Jerry Beckham is a provider established in Honolulu, Hawaii and his medical specialization is emergency medicine. The NPI number of Jerry Beckham is 1588699920 and was assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD12663 (HI). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Jerry Beckham is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1588699920

Provider Name JERRY W. BECKHAM MD
Provider Location Address3288 MOANALUA RD HONOLULU, HI 96819
Provider Mailing Address3288 MOANALUA RD HONOLULU, HI 96819
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-12-2006
Last Update Date04-02-2008


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD12663
License StateHI
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

JERRY W. BECKHAM MD
3288 MOANALUA RD
HONOLULU, HI
ZIP 96819
Phone: (808) 432-7030

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Mailing Address

JERRY W. BECKHAM MD
3288 MOANALUA RD
HONOLULU, HI
ZIP 96819
Phone: (808) 432-7030



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0000263067OTHER (01)
582389-03MEDICAID (05)HI
H101888MEDICARE PIN (08)
H40002MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205826492DR. JOCHEBED CARTER MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-8140
1750347860 TERRY WHITE MD
Individual
Obstetrics & Gynecology3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1710945969HAWAII PERMANENTE MEDICAL GROUP INC
Organization
Health Maintenance Organization3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1346292778DR. NIRAJ J. PATEL MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-4607
1033161641DR. JOHN Y. F. TSAI MD
Individual
Family Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-4607
1255385506 CHRISTINE M KING APRN
Individual
Nurse Practitioner3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-8321
1548287204 NATALIA KOLESNIKOVA MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-4607
1770502478DR. JEFFREY O. TOM MD
Individual
Pediatrics3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1679587513 JOAN M. FORESTER CRNA
Individual
Nurse Anesthetist, Certified Registered3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1134134976 GREG I. TANIDA LCSW
Individual
Social Worker (Clinical)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1700892023 COURTNEY H. L. LIN CRNA
Individual
Nurse Anesthetist, Certified Registered3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1043227218DR. JAMES H. YAMASHITA MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1497764799 CHARLENE M. AMELL FNP
Individual
Nurse Practitioner (Family)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1568471043DR. RAYMOND C. B. TAM MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1679584502 NATHAN H. FUJIMOTO MD
Individual
Internal Medicine3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1952415333 ROSSINI C. BOTEV MD
Individual
Internal Medicine (Nephrology)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1144332677 JEFFREY J WU MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1285730895MR. WILLIAM EUGENE HIGGINS C.R.N.A
Individual
Nurse Anesthetist, Certified Registered3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-8900
1942307004 GERIN T. S. CHUN MD
Individual
Anesthesiology3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000
1275632747DR. BRIAN K. TABATA MD
Individual
Anesthesiology3288 MOANALUA RD
HONOLULU, HI 96819
(808) 432-0000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.