=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164836185
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BENJAMIN B MORRIS D.O.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2014
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | STRAUB BENIOFF MILILANI CLINIC 95-1249 MEHEULA PARKWAY, BUILDING M
-----------------------------------------------------
City | MILILANI
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96789
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-625-6444
-----------------------------------------------------
Fax | 808-623-2552
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | STRAUB BENIOFF MILILANI CLINIC 95-1249 MEHEULA PARKWAY, BUILDING M
-----------------------------------------------------
City | MILILANI
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96789
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-625-6444
-----------------------------------------------------
Fax | 808-623-2552
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2083A0100X
-----------------------------------------------------
Taxonomy Name | Aerospace Medicine Physician
-----------------------------------------------------
License Number | DOS-2719
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | DOS-2719
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------