DR. ILYA VLADIMIR YEPISHIN (NPI# 1275893109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275893109 |
| Entity Type | Individual |
| Full Name | DR. ILYA VLADIMIR YEPISHIN |
| Credential | D.O. |
| Practice Address |
736 Hawaii St Apt. A Honolulu HI 96817-7327 |
| Practice Telephone | 3104082891 |
| Practice Fax Number | 8446565581 |
| Mailing Telephone | 3104082891 |
| Mailing Fax Number | 8446565581 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2016-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DOS-1673 | HI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
736 HAWAII ST APT. A |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-7327 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657307 | Healing Tides Primary Care LLC | Family Medicine | 1110 Nuuanu Ave # A1-182, Honolulu, HI 96817-5119 | 2020-04-09 |
| 1669961322 | Micah David | Family Medicine | 1188 Bishop St Ste 802a, Honolulu, HI 96813-3303 | 2018-05-08 |
| 1023469632 | Anh Tan | Family Medicine | 1001 Queen St Ste 102, Honolulu, HI 96814-5243 | 2016-06-24 |
| 1730540659 | Mindy Chen | Family Medicine | 55 S Kukui St Ste C108, Honolulu, HI 96813-2328 | 2016-03-19 |
| 1053703645 | Jane Stephens Fyrberg | Family Medicine | 2459 Parker Place, Honolulu, HI 96822 | 2015-02-19 |
| 1770998726 | Fernando Liquido | Family Medicine | 7192 Kalanianaole Hwy Ste A200, Honolulu, HI 96825-1845 | 2014-06-29 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1609219112 | Emi Ota | Family Medicine | 2250 Kalakaua Ave Ste 407, Honolulu, HI 96815-2546 | 2013-04-15 |
| 1275878050 | Edward Lam | Family Medicine | 1188 Bishop St Ste 3208, Honolulu, HI 96813-3313 | 2012-12-04 |
| 1700151297 | Ronald Metler | Family Medicine | 1645 Ala Wai Blvd, 1305, Honolulu, HI 96815-1065 | 2012-03-15 |
| 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.