BERT KW WONG MD LLC (NPI# 1235354887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235354887 |
| Entity Type | Organization |
| Organization Name | BERT KW WONG MD LLC |
| Practice Address |
2228 Liliha St Suite 305 Honolulu HI 96817-1646 |
| Practice Telephone | 8085260686 |
| Practice Fax Number | 8085260688 |
| Mailing Telephone | 8085260686 |
| Mailing Fax Number | 8085260688 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | BERT KW WONG (OWNER) |
| Authorized Official Telephone | 8085260686 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3694 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HMSA | C17149 | 01 | |
| HI | 03062302 | 05 |
| Street Address |
2228 LILIHA ST SUITE 305 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622920 | Michael Bornemann | Specialist | 2228 Liliha St, 202, Honolulu, HI 96817-1650 | 2005-07-13 |
| 1700320421 | Island Neuro-rehabilitation Associates | Clinic/Center | 2228 Liliha St, Ste 405, Honolulu, HI 96817-1650 | 2016-12-14 |
| 1083925580 | Derek K H Pang Md Inc | Specialist | 2228 Liliha St, 401, Honolulu, HI 96817-1650 | 2010-06-30 |
| 1699935718 | Ernie Yim, M.d. Inc. | Legal Medicine | 2228 Liliha St, Suite 202, Honolulu, HI 96817-1650 | 2008-06-12 |
| 1700069408 | Christine Susanne Magill | Physician Assistant | 2228 Liliha St, #305, Honolulu, HI 96817-1650 | 2007-12-17 |
| 1326234196 | Danelo R Canete Md Inc | Internal Medicine | 2228 Liliha St, Suite 305, Honolulu, HI 96817-1653 | 2007-09-14 |
| 1700082898 | Patricia Lucille Chinn | Surgery | 2228 Liliha St, Suite 403, Honolulu, HI 96817 | 2007-06-25 |
| 1790981884 | Raymond Lau Lokahi Davidson | Psychiatry & Neurology | 2228 Liliha St, Ste 404, Honolulu, HI 96817-1654 | 2007-06-25 |
| 1043350770 | Lincoln Kalani Kobayashi | Internal Medicine | 2228 Liliha St, Suite 204, Honolulu, HI 96817-1650 | 2007-02-08 |
| 1174660682 | Kinue Miki | Internal Medicine | 2228 Liliha St, Ste 300, Honolulu, HI 96817-1653 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1275090706 | Steven S Azuma Md Inc | Internal Medicine | 321 N Kuakini St Ste 709, Honolulu, HI 96817-2362 | 2019-02-20 |
| 1245452911 | Wesley C. Wakai, M.d., Inc. | Internal Medicine | 1010 South King Street, Suite 205, Honolulu, HI 96814-1798 | 2007-05-03 |
| 1871637397 | Ramez Bassir | Internal Medicine | 1221 Victoria St Apt 2804, Honolulu, HI 96814-1441 | 2007-02-16 |
| 1851432512 | Bernard W.d. Fong | Internal Medicine | 97 Dowsett Ave, Honolulu, HI 96817-1107 | 2007-02-08 |
| 1659430072 | Coolidge S Wakai | Internal Medicine | 1010 S King Street, Suite 110, Honolulu, HI 96814-1702 | 2006-12-08 |
| 1255349387 | Samuel Dacanay | Internal Medicine | 3908 Waokanaka St, Honolulu, HI 96817-5200 | 2006-08-04 |
| 1447266655 | Joana H Magno | Internal Medicine | 550 S Beretania, Suite 201, Honolulu, HI 96813 | 2006-07-31 |
| 1356376081 | Joon John Choi | Internal Medicine | 550 S Beretania St Ste 300, Honolulu, HI 96813-2423 | 2006-07-11 |
| 1336187517 | John A Kao | Internal Medicine | 98-1079 Moanalua Road Suite 680, Honolulu, HI 96701 | 2006-06-02 |
| 1295787299 | Dipanjan Banerjee | Internal Medicine | 550 S Beretania St Ste 610, Honolulu, HI 96813-2496 | 2006-05-17 |
| 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.