THERESA S DEVERE (NPI# 1316952823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316952823 |
| Entity Type | Individual |
| Full Name | THERESA S DEVERE |
| Credential | MD |
| Practice Address |
2828 Paa St Honolulu HI 96819-4430 |
| Practice Telephone | 8084325770 |
| Mailing Telephone | 8084325770 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD-15553 | HI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD22922 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 228920 | 05 |
| Street Address |
2828 PAA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093315 | Michael Sing Loi Ching | Pediatrics | 2828 Paa St, Honolulu, HI 96819-4430 | 2006-02-21 |
| 1932726932 | Jennifer Kristen Foster | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2020-06-25 |
| 1841817848 | Ethan Charles Kin Hoon Chun | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2020-06-25 |
| 1750908752 | Helena Holmgren | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2020-06-25 |
| 1669099669 | Jordan Jensen | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2020-06-25 |
| 1487271482 | Kathryn Kianalani Choo Loy | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2020-06-25 |
| 1023651494 | Monique Sharee Haddad | Pharmacist | 2828 Paa St, Honolulu, HI 96819-4430 | 2019-10-17 |
| 1477107316 | Courtnee Ho | Pharmacist | 2828 Paa St, Honolulu, HI 96819-4430 | 2019-07-29 |
| 1144889445 | Leina'ala Song | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2019-06-10 |
| 1053970350 | Braxton Seiya Fukutomi | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2019-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184923765 | Shelbi Ching Jim On | Dermatology | 405 N Kuakini St Ste 703, Honolulu, HI 96817-6302 | 2011-03-21 |
| 1730406232 | Paul I. Sunahara M.d., Inc. | Dermatology | 321 N Kuakini St Ste 610, Honolulu, HI 96817-2388 | 2010-04-23 |
| 1073631362 | Linda E. Fancher | Dermatology | 1010 S King St Ste 220, Honolulu, HI 96814-1703 | 2007-03-26 |
| 1942373865 | Douglas W. Chun | Dermatology | 1380 Lusitana St Ste 412, Honolulu, HI 96813-2440 | 2006-11-16 |
| 1679643134 | Norman Goldstein Md Inc | Dermatology | 1128 Smith St, Honolulu, HI 96817-5139 | 2006-11-09 |
| 1124110879 | Linda E Fancher Md LLC | Dermatology | 1010 South King St, Ste 220, Honolulu, HI 96814 | 2006-09-29 |
| 1609844588 | Joseph Mckinlay | Dermatology | 1003 Bishop Street, Pauahi Tower Suite 380, Honolulu, HI 96813-3429 | 2006-03-08 |
| 1134667603 | Honolulu Dermatology LLC | Dermatology | 1953 S Beretania St, Suite 3c, Honolulu, HI 96826-1300 | 2017-02-06 |
| 1366825655 | Direct Dermatology Professionals Hawaii PC | Dermatology | 1380 Lusitana St Ste 814, Honolulu, HI 96813-2444 | 2015-07-04 |
| 1194112391 | Ethan Thacher Routt | Dermatology | 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 | 2015-04-25 |
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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.