BRENT KEI TATSUNO (NPI# 1184982290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184982290 |
| Entity Type | Individual |
| Full Name | BRENT KEI TATSUNO |
| Credential | M.D. |
| Practice Address |
1329 Lusitana St Ste 107 Honolulu HI 96813-2401 |
| Practice Telephone | 8086915201 |
| Practice Fax Number | 8086915203 |
| Mailing Telephone | 8086915201 |
| Mailing Fax Number | 8086915203 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD-19619 | HI | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD-19619 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 824343 | 05 |
| Street Address |
1329 LUSITANA ST STE 107 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891716072 | Christopher Andrew Fiack | Internal Medicine | 1329 Lusitana St Ste 107, Honolulu, HI 96813-2401 | 2006-07-22 |
| 1689934606 | Brent Jitsuo Matsuda | Internal Medicine | 1329 Lusitana St Ste 107, Honolulu, HI 96813-2401 | 2012-05-23 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417918798 | Russell Charles Gilbert | Internal Medicine | 1301 Punchbowl Street, Honolulu, HI 96813-2499 | 2006-03-28 |
| 1720061625 | Benjamin Worth Berg | Internal Medicine | 651 Ilalo St, Telehealth Research, Honolulu, HI 96813-5525 | 2005-11-23 |
| 1962804567 | Graham M Cormack, Md, LLC | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813 | 2014-09-25 |
| 1821408873 | Timothy John Kenealy Vossler | Internal Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2014-04-30 |
| 1215355680 | Colin Louis Doyle | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2014-04-02 |
| 1003159211 | Nishal Brahmbhatt | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2013-04-05 |
| 1649512724 | Stephanie C Guo | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2013-03-26 |
| 1689930497 | Karthik R Kode | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2012-04-05 |
| 1174847842 | Jordan Lee | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2010-03-24 |
| 1043353709 | Lillian A Umbarger | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-02-14 |
| Find all providers in HONOLULU | ||||
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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.