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1851377303

NPI Code Detail

MEDICARE: JAMES D ATKISSON MD

MEDICARE: JAMES D ATKISSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD00020389	WA
2	207R00000X	Internal Medicine Physician	23571	SC
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	5437	HI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00072704	OTHER	SC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851377303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES D ATKISSON MD

Provider Business Mailing Address
First Line	:	860 IWILEI RD
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-5018
Country	:	US
Telephone Number	:	808-924-9255
Fax Number	:

Provider Business Practice Location Address
First Line	:	860 IWILEI RD
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-5018
Country	:	US
Telephone Number	:	808-924-9255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	05/19/2025

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Directions to “ JAMES D ATKISSON MD” Practice Location

Language	Start Address	Practice Location

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