ISLAND UROLOGY OAHU LLC (NPI# 1235481185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235481185 |
| Entity Type | Organization |
| Organization Name | ISLAND UROLOGY OAHU LLC |
| Practice Address |
1329 Lusitana St Ste 602 Honolulu HI 96813-2431 |
| Practice Telephone | 8085225055 |
| Practice Fax Number | 8085246306 |
| Mailing Telephone | 8085225055 |
| Mailing Fax Number | 8085246306 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | SERGEI TIKHONENKOV (OWNER) |
| Authorized Official Telephone | 8085225055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD-14871 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1329 LUSITANA ST STE 602 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2431 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630726 | Andrew Jordan Sun | Urology | 1329 Lusitana St Ste 406, Honolulu, HI 96813-2412 | 2014-04-22 |
| 1750721171 | Thomas Yutaka Ito | Urology | 1850 Laukahi St, Honolulu, HI 96821-1361 | 2013-06-29 |
| 1790085595 | Herbert Kw Chinn M D Inc | Urology | 1329 Lusitana St Ste 108, Honolulu, HI 96813-2401 | 2010-10-26 |
| 1437398583 | Charles Ock Kim Jr Md LLC | Urology | 707 Richards St Ste 517, Honolulu, HI 96813-4623 | 2009-02-12 |
| 1831358159 | Aloha Urology, Inc. | Urology | 4722 Aukai Ave, Honolulu, HI 96816-5207 | 2008-06-02 |
| 1093812091 | Kent K. Teruya | Urology | 1329 Lusitana St Ste 508, Honolulu, HI 96813-2412 | 2006-09-20 |
| 1992718993 | Douglas Walter Soderdahl | Urology | 411 Hobron Lane, #3808, Honolulu, HI 96815-1220 | 2006-08-14 |
| 1336154038 | Pacific Urology Inc | Urology | 1525 Wilder Ave Apt 307, # 307, Honolulu, HI 96822-4684 | 2006-07-30 |
| 1073563979 | David Shu- An Chou | Urology | 1029 Kapahulu Ave, Suite 306, Honolulu, HI 96816-1332 | 2006-05-11 |
| 1508821794 | Robert G. Carlile | Urology | 1380 Lusitana St #1004, Honolulu, HI 96813-2461 | 2006-04-19 |
| 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.