MR. KENTARO HANAWA


Address: 94-294 Anania Dr, Mililani, HI 96789-2525
Phone: (308) 627-1593

MR. KENTARO HANAWA (NPI# 1083003172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083003172
Entity Type Individual
Full Name MR. KENTARO HANAWA
Practice Address 94-294 Anania Dr
Mililani
HI 96789-2525
Mailing Address 1520 Enos Ln Apt A
Honolulu
HI 96822-4514
Practice Telephone (308) 627-1593
Mailing Telephone (308) 627-1593
Enumeration Date 2015-01-13
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PS0010X Emergency Medicine
Specialization: Sports Medicine
AT-303 HI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2310 14th Ave, Kearney, NE 688455039 3086279752

Office Location

Street Address 94-294 ANANIA DR
City MILILANI
State HI
Zip Code 96789-2525

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1932758703 Ashley Jones Physical Therapist 95 1053 Kuauli St., Apt 40, Mililani, HI 96789 2019-09-05
1902305428 Novena Saguid Sanchez Licensed Practical Nurse 95-282 Kaaona Pl, Mililani, HI 96789 2018-02-10
1013433341 Mililani Dental Inc. Clinic/Center 95-1249 Meheula Parkway, 138, Mililani, HI 96789 2017-08-18
1508314089 Jaco Rehab Mililani LLC Physical Therapist 95-1105 Ainamakua Drive, Suite 203, Mililani, HI 96789 2016-09-14
1033665245 Shelby Dell Behavioral Analyst 95-1018 Hoakua St, Mililani, HI 96789 2016-08-28
1528410289 Margie Stercho Inc Contractor 95-174 Napehe Pl, Mililani, HI 96789 2016-07-06
1700205226 Paul W. Dale Psychiatry & Neurology 95-107 Wekiu Pl., Mililani, HI 96789 2014-04-11
1184050536 Jennifer L Newell Marriage & Family Therapist 95-955 Wikao St, Mililani, HI 96789 2013-09-17
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Taxonomy Information

Taxonomy Code 207PS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Sports Medicine

Taxonomy Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Competitor

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City MILILANI
Zip Code 96789

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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