DR. MARNI LUM DEZZANI (NPI# 1245655794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245655794 |
Entity Type | Individual |
Full Name | DR. MARNI LUM DEZZANI |
Other Name | DR. MARNI DEZZANI |
Credential | MD |
Practice Address |
3150 Monsarrat Ave Ste 200 Honolulu HI 96815-4488 |
Mailing Address |
1808 Kanakanui St Honolulu HI 96819-3227 |
Practice Telephone | 8087355541 |
Practice Fax Number | 8087345923 |
Enumeration Date | 2014-02-20 |
Last Update Date | 2014-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD10106 | HI | Allopathic & Osteopathic Physicians |
Street Address |
3150 MONSARRAT AVE STE 200 |
City | HONOLULU |
State | HI |
Zip Code | 96815-4488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104052497 | Joseph Scott Ward | Pediatrics | 3150 Monsarrat Ave Ste 200, Honolulu, HI 96815-4488 | 2009-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
Find all providers in zip 96815 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912102690 | Donald Fb Char | Pediatrics | 5650 Halepa Pl, Honolulu, HI 96821-2118 | 2007-06-20 |
1336571405 | James Katsuya Nakamura | Pediatrics | 1319 Punahou St, Suite 900, Honolulu, HI 96826-1001 | 2013-07-31 |
1033321534 | Venu Reddy Md & Vj Reddy Md LLP | Pediatrics | 1319 Punahou St Ste 1160, Honolulu, HI 96826-1089 | 2007-05-04 |
1174690473 | Vijaya D. Reddy | Pediatrics | 1329 Lusitana St, Suite 701, Honolulu, HI 96813-2429 | 2006-11-29 |
1952485146 | Ken Nagamori | Pediatrics | 1319 Punahou St, Suite 1030, Honolulu, HI 96826-1077 | 2006-10-24 |
1437255080 | Robert J. Bidwell | Pediatrics | 1319 Punahou St, Honolulu, HI 96826-1001 | 2006-09-14 |
1598788440 | Pediatric Group of Honolulu, LLP | Pediatrics | 1319 Punahou St, Suite 1100, Honolulu, HI 96826-1001 | 2006-07-25 |
1619909751 | Chunmei Wu | Pediatrics | 1319 Punahou St, #910, Honolulu, HI 96826 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497701114 | Dwight H Matsumura | Pediatrics | 333 Uluniu St, 103, Kailua, HI 96734-2525 | 2006-05-25 |
1225086259 | Naro Luke Torres | Pediatrics | 579 Farrington Hwy, Suite 203, Kapolei, HI 96707-2027 | 2006-05-04 |
1467820985 | Frank R. Baum, Md, Inc. | Pediatrics | 200 Kalepa Pl, Kahului, HI 96732-2471 | 2015-09-15 |
1447542949 | Christopher Michael Daly | Pediatrics | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2011-05-03 |
1346547221 | Darrett Choy Md LLC | Pediatrics | 275 Ponahawai St, Suite #106, Hilo, HI 96720-3074 | 2011-02-11 |
1134315005 | Brian Wilson Md L.L.C. | Pediatrics | 275 Ponahawai St, Suite 106, Hilo, HI 96720-3074 | 2007-09-24 |
1770794554 | Kasi Meredith Chu | Pediatrics | 755 Scott Cir, Jbphh, HI 96853-5399 | 2007-05-24 |
1518063197 | Perlita Bolosan Lampitoc | Pediatrics | 94-235 Hanawai Cir, Waipahu, HI 96797-3029 | 2006-09-15 |
1215048400 | Amy B Harpstrite | Pediatrics | 642 Ulukahiki St, #205, Kailua, HI 96734-4400 | 2006-08-31 |
1952344905 | Benjamin C Chang | Pediatrics | 98-1079 Moanalua Road, Suite 500, Aiea, HI 96701-4794 | 2006-06-14 |
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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.