Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265906721 Individual Practitioner Male Practitioner

Dr. Jason Mark Ellwood , DO

General Practice • Kailua, HI

Professional Overview & Biography Verified Profile Summary

Dr. Jason Ellwood, DO is a registered healthcare professional specializing in General Practice in Kailua, HI. Practice services are available at 6905 HARRIS AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6905 Harris Avenue

Kailua, HI 96734

Telephone 8505056601

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kailua, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 31.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Kailua, HI (183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102206240

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

State License VA 0102206240

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

480 Central Ave

Pearl Harbor, HI 968604908

Phone: 8082573365

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Dr. Lance Monteau , MD

Internal Medicine

NPI 1003015454

Doctor of Medicine (M.D.)

Dr. Christopher Manganello , MD

Radiology - Diagnostic Radiology

NPI 1003296146

Doctor of Medicine (M.D.)

NPI 1033272372

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1063021806

Doctor of Pharmacy (Pharm.D.)

Nicole Cineas , MSW

Social Worker

NPI 1083641344

Master of Social Work

Bryan Clarke , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1093945198

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location August 18, 2023

Registered at 6905 HARRIS AVENUE, KAILUA, HI 96734 (Tel: 8505056601)

📍
Updated Business Mailing Address August 18, 2023

Registered at 6905 HARRIS AVENUE, KAILUA, HI 96734

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2023

Military Health Care Provider (License #0102206240 in VA)

👤
Provider Name / Credentials Updated April 25, 2022

Recorded as JASON ELLWOOD, DO

📍
Updated Business Mailing Address June 21, 2021

Registered at 6000 N W ST # US-98, PENSACOLA, FL 32505

📍
Updated Practice Location May 13, 2021

Registered at 6000 US-98, PENSACOLA, FL 325122111 (Tel: 8505056601)

NPI Profile Active February 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2019

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532277)

📍
Updated Business Mailing Address February 11, 2019

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111

👤
Provider Name / Credentials Updated February 11, 2019

Recorded as JASON ELLWOOD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265906721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2019
Last Update: August 18, 2023
Sole Proprietor: Yes

Mailing Address

6905 Harris Avenue

Kailua, HI 96734

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.