Organization
JJTM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT D. M. MOON M.D. (MEMBER/MANAGER)
(808) 295-5566
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 547-4771
(808) 545-8577
Mailing address
102 KIIONIONI PL, HONOLULU, HI 96816-4248
(808) 295-5566
(808) 955-7426
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
7901
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073512-05
—
HI
05
—
073512-06
—
HI
05
—
073512-07
—
HI
05
—
073512-08
—
HI
01
—
F95536(Q)
HMSA
—
Enumeration date
05/20/2008
Last updated
11/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us