DR. GLENN MICHAEL WASSERMAN (NPI# 1093902868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093902868 |
| Entity Type | Individual |
| Full Name | DR. GLENN MICHAEL WASSERMAN |
| Credential | MD, MPH |
| Practice Address |
1250 Punchbowl St Room 423 Honolulu HI 96813-2416 |
| Mailing Address |
47-507 Kinana Way Kaneohe HI 96744-5414 |
| Practice Telephone | 8008586458 |
| Mailing Telephone | 8082397213 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD-5316 | HI | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD-5316 | HI | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
MD-5316 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1250 PUNCHBOWL ST ROOM 423 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306062690 | State of Hawaii, Department of Health | Community/Behavioral Health | 1250 Punchbowl St, Rm 256, Honolulu, HI 96813-2416 | 2007-04-17 |
| 1972866028 | State of Hawaii Dept. of Health Adult Mental Health Division | Community/Behavioral Health | 1250 Punchbowl St, Rm 256, Honolulu, HI 96813-2416 | 2012-06-22 |
| 1144454208 | Hawaii Public Health Nursing Branch | Case Management | 1250 Punchbowl St, Room 210, Honolulu, HI 96813-2416 | 2009-05-05 |
| 1528241155 | State of Hawaii Department of Health | Community/Behavioral Health | 1250 Punchbowl St, Rm 256, Honolulu, HI 96813-2416 | 2007-12-05 |
| 1437362845 | William Patrick Sheehan | Psychiatry & Neurology | 1250 Punchbowl St, Suite 256, Honolulu, HI 96813-2416 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265876767 | Alan Roy Katz | Preventive Medicine | 1960 E West Rd, Biomedical Sciences Bldg., Rm D104m, Univ of Hawaii, Honolulu, HI 96822-2323 | 2013-04-26 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1144427303 | Kleona Rigney | Preventive Medicine | 140 Niuiki Cir, Honolulu, HI 96821-2349 | 2007-06-29 |
| 1831391051 | Arthur H Brownstein | Preventive Medicine | 932 Ward Ave # 16, Honolulu, HI 96814-2131 | 2007-06-01 |
| 1245362235 | Terry Shintani | Preventive Medicine | 2525 S King St, Suite 309, Honolulu, HI 96826-3101 | 2007-03-12 |
| 1245305523 | David Douglas Derauf | Preventive Medicine | 2239 N School St, Honolulu, HI 96819-2539 | 2006-11-21 |
| 1316985096 | Edith C. Ramsdell | Preventive Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780049478 | Lorrin Pang | Preventive Medicine | 166 River Rd, Wailuku, HI 96793-5701 | 2015-12-22 |
| 1164632469 | Natalie Ann De Lue | Preventive Medicine | 67-1018 Keamuku Rd, Kamuela, HI 96743-5600 | 2007-05-23 |
| 1720177652 | James H Gollop | Preventive Medicine | 45 Mohouli Street, Hilo, HI 96720 | 2006-10-11 |
| 1073580072 | Frederick John Landro | Preventive Medicine | 1215 North Rd, Pearl Harbor, HI 96860-4477 | 2006-03-08 |
| 1700856739 | Michael Salvatore Termini | Preventive Medicine | 480 Central Ave Bldg 1750, Naval Health Clinic Hawaii, Jbphh, HI 96860-4908 | 2006-01-24 |
| 1275511198 | Keith Hanley | Preventive Medicine | Marine Aircraft Group 24, 1marine Aircraft Wing, Psd Box 63047, Mcbh Kaneohe Bay, HI 96863-3047 | 2006-01-03 |
| 1679834725 | Jyothi Gunta | Preventive Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | 2012-06-06 |
| 1376837997 | Duerler, Inc. | Preventive Medicine | 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743 | 2011-05-31 |
| 1679606156 | Samuel Mark Ruben | Preventive Medicine | 900 Leilani St, Hilo, HI 96720-7512 | 2007-03-13 |
| 1568400372 | Patricia G Avila | Preventive Medicine | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2006-06-03 |
| Find all providers with the same taxonomy | ||||
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| 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.