DOUGLAS MITCHELL SIDES (NPI# 1144228255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144228255 |
| Entity Type | Individual |
| Full Name | DOUGLAS MITCHELL SIDES |
| Credential | M.D. |
| Practice Address |
688 Kinoole St Suite 103 Hilo HI 96720 |
| Mailing Address |
Po Box 30077 Salt Lake City UT 84130-0077 |
| Practice Telephone | 8089351825 |
| Practice Fax Number | 9036637394 |
| Mailing Telephone | 7024770772 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G76456 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
10716 | NV | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G76456 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 905838 | 05 | |
| NV | BLUE | CC5535 | 01 |
| NV | 100502411 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 688 Kinoole St, Suite 103, Hilo, HI 96720 | 8089351825 | 9036637394 |
| Street Address |
688 KINOOLE ST SUITE 103 |
| City | HILO |
| State | HI |
| Zip Code | 96720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861926503 | Kokua Orthotic Solutions | Prosthetic/Orthotic Supplier | 688 Kinoole St, Suite 110a, Hilo, HI 96720-3877 | 2017-04-19 |
| 1457724031 | Tracy M.taniguchi, Psy.d., LLC | Psychologist | 688 Kinoole St, Suite # 206, Hilo, HI 96720-3877 | 2015-11-04 |
| 1649695495 | Helping Hands Hawaii | Case Manager/Care Coordinator | 688 Kinoole St, Suite 120, Hilo, HI 96720 | 2014-03-03 |
| 1194158279 | Jennifer L Kaeo | Counselor | 688 Kinoole St, Suite 120, Hilo, HI 96720-3877 | 2013-08-13 |
| 1285836262 | Janet Faye Taylor | Social Worker | 688 Kinoole St, Ste 219, Hilo, HI 96720-3869 | 2007-06-01 |
| 1346362886 | Wendy Kagawa | Pharmacist | 688 Kinoole St, Ste 109, Hilo, HI 96720-3877 | 2007-04-04 |
| 1417042227 | Glenn A Kondo | Counselor | 688 Kinoole St, Ste 119b, Hilo, HI 96720 | 2006-10-04 |
| 1740213313 | Pharmacy Corporation of America | Durable Medical Equipment & Medical Supplies | 688 Kinoole St, Unit 109, Hilo, HI 96720-3877 | 2006-07-08 |
| 1295775476 | Lane D Matsumura | Psychiatry & Neurology | 688 Kinoole St, Suite 204, Hilo, HI 96720-3877 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174679443 | Hawaii Radiologic Associates Ltd | Radiology | 670 Ponahawai St Ste 110, Hilo, HI 96720-2660 | 2007-01-26 |
| 1326087487 | John L Wade | Radiology | 688 Kinoole St Ste 103, Hilo, HI 96720-3868 | 2006-06-05 |
| 1134489438 | Manfred Tejerina | Radiology | 688 Kinoole St Ste 103, Hilo, HI 96720 | 2012-05-21 |
| 1982612123 | Christopher Alan Neal | Radiology | 688 Kinoole St Ste 103, Hilo, HI 96720-3868 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730797 | Elevation Medical Imaging Hawaii LLC | Radiology | 68-1820 Waikoloa Rd Ste M101m102, Waikoloa, HI 96738 | 2020-11-02 |
| 1134681067 | Bay Imaging Consultants Medical Group Inc | Radiology | 500 Ala Moana Blvd Ste 7-421, Honolulu, HI 96813-4902 | 2019-04-01 |
| 1942755657 | Telerad of Hi Account Management LLC | Radiology | 98-1635 Piki St, Aiea, HI 96701-1731 | 2016-08-23 |
| 1750725255 | Telerad of Hi Account Management LLC | Radiology | 4355 E Waiola Loop, Wailea, HI 96753-8499 | 2013-04-26 |
| 1043654015 | Jean Paul Colon-pons | Radiology | 1380 Lusitana St Ste 1007, Honolulu, HI 96813 | 2013-04-22 |
| 1225300296 | Frederick Bennett Giles | Radiology | 350 Ward Ave Ste 106-10, Honolulu, HI 96814-4010 | 2012-02-06 |
| 1235440876 | Lana Gimber | Radiology | 500 Ala Moana Blvd Ste 405, Honolulu, HI 96813 | 2010-06-29 |
| 1669791844 | Christian Scott Welch | Radiology | 321 N Kuakini St Ste 405, Honolulu, HI 96817-2391 | 2010-05-26 |
| 1972832202 | Hawaii Telerad LLC | Radiology | 4043 Aloalii Drive, Princeville, HI 96722-0000 | 2009-12-16 |
| 1558695635 | California Advanced Imaging Medical Associates, Inc. | Radiology | 72-124 Hali'ipua Place, Unit 12, Kailua Kona, HI 96745 | 2009-09-23 |
| 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.