HAWAII PODIATRY INC (NPI# 1235549056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235549056 |
| Entity Type | Organization |
| Organization Name | HAWAII PODIATRY INC |
| Other Organization Name | HAWAII PODIATRY LLC |
| Practice Address |
1245 Kuala St Suite 102a Pearl City HI 96782-3900 |
| Practice Telephone | 8087262161 |
| Practice Fax Number | 8087262161 |
| Mailing Telephone | 8087262161 |
| Mailing Fax Number | 8087262163 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | DR. LIANE J WATANABE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8087262161 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO-196 | HI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | MEDICARE NSC | 7380140001 | 01 |
| Other Name | Type Code |
|---|---|
| Hawaii Podiatry LLC | Former Legal Business Name - Organization |
| Street Address |
1245 KUALA ST SUITE 102A |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386732824 | Brandon K Shirai | Emergency Medicine | 1245 Kuala St, Pearl City, HI 96782-3900 | 2006-10-10 |
| 1134501687 | Nichole Reyes | Nurse Practitioner | 1245 Kuala St, Suite 103, Pearl City, HI 96782-3900 | 2015-06-22 |
| 1477944031 | Us Med Care Synchronicity LLC | Family Medicine | 1245 Kuala St, Suite 106, Pearl City, HI 96782-3900 | 2015-02-17 |
| 1477964237 | Holliday Orthodontics, LLC | Dentist | 1245 Kuala St, Suite 110, Pearl City, HI 96782-3900 | 2014-05-15 |
| 1194143537 | Adam Roller | Nurse Practitioner | 1245 Kuala St, Pearl City, HI 96782-3900 | 2014-04-02 |
| 1255769915 | Meagan Nolin | Registered Nurse | 1245 Kuala St, Ste. 103, Pearl City, HI 96782-3900 | 2013-10-16 |
| 1912240821 | Sara Fischlowitz Davis | Family Medicine | 1245 Kuala St, Suite 103, Pearl City, HI 96782-3900 | 2013-03-28 |
| 1427301340 | Lindsay Livengood | Audiologist | 1245 Kuala St, Suite #104, Pearl City, HI 96782-3900 | 2012-10-16 |
| 1750680369 | Liane Junko Watanabe | Podiatrist | 1245 Kuala St, Suite 102a, Pearl City, HI 96782-3900 | 2011-03-22 |
| 1073816245 | Us Med Urgent Care | Clinic/Center | 1245 Kuala St, Pearl City, HI 96782-3900 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750680369 | Liane Junko Watanabe | Podiatrist | 1245 Kuala St, Suite 102a, Pearl City, HI 96782-3900 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437661238 | Byron Carrasco Dpm LLC | Podiatrist | 94-216 Farrington Hwy Ste A102, Waipahu, HI 96797-1922 | 2017-11-02 |
| 1942689542 | Kari M Tanimoto | Podiatrist | 405 N. Kaukim St., Suite 1010, Honolulu, HI 96817-6301 | 2015-05-28 |
| 1134480965 | Suhair Afif Shahwan | Podiatrist | 1329 Lusitana St Ste 802, Honolulu, HI 96813-2434 | 2012-06-07 |
| 1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
| 1306032180 | Gary B. Pitt Dpm Inc | Podiatrist | 59-229 Alapio Rd, Haleiwa, HI 96712-9604 | 2007-09-14 |
| 1861536021 | Barron D. Elleby | Podiatrist | 415 Dairy Rd Ste D, Kahului, HI 96732-2348 | 2007-02-19 |
| 1720137573 | Christopher Ken Teramura | Podiatrist | 40 Aulike St Ste 414, Kailua, HI 96734-2757 | 2007-01-10 |
| 1992805923 | Gary Byron Pitt | Podiatrist | 59-229 Alapio Road, Haleiwa, HI 96712-9604 | 2006-09-22 |
| 1922622588 | Island Foot and Ankle Specialists LLC | Podiatrist | 415 Dairy Rd Ste D, Kahului, HI 96732-2348 | 2020-05-29 |
| 1740641513 | Hawaii Foot and Ankle Surgical Specialists, LLC | Podiatrist | 1028 Kinoole St, Suite 104, Hilo, HI 96720-3800 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
| City | PEARL CITY |
| Zip Code | 96782 |
Please comment or provide details below to improve the information on HAWAII PODIATRY INC.
| 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.