XIAOGANG LIAO (NPI# 1376630335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376630335 |
| Entity Type | Individual |
| Full Name | XIAOGANG LIAO |
| Credential | M.D. |
| Practice Address |
86-260 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | 8086967081 |
| Practice Fax Number | 8086961577 |
| Mailing Telephone | 8086967081 |
| Mailing Fax Number | 8086961577 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
13740 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BILLING NUMBER | 00A0264000 | 01 |
| HI | 593279-02 | 05 |
| Street Address |
86-260 FARRINGTON HWY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942266739 | John Louis Myhre | Psychologist | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-04-21 |
| 1154932432 | Steven Keone Young | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-08-11 |
| 1164049169 | Christopher Dayoan | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-25 |
| 1831714930 | Victor Francisco Solis Ojeda | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-15 |
| 1053935320 | Tina Hualani Myers | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-03 |
| 1710516448 | Cody Wei Ming Sia | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-04-04 |
| 1023643921 | Cara Lawler | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-03-11 |
| 1760016273 | Nadiene Oh Wu | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-24 |
| 1568096113 | Cory Daley | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-22 |
| 1437782158 | Annalise Ferreira | Counselor | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063807840 | Ann Catherine Garcia | Family Medicine | Kuakini Medical Center, 347 N. Kuakini Street, Hpm 9, Honolulu, HI 96817 | 2015-03-30 |
| 1699965699 | Koichiro Yamasaki | Family Medicine | 347 N Kuakini St, Mph-9, Honolulu, HI 96817 | 2007-07-26 |
| 1982750394 | Mona Ruth Bomgaars | Family Medicine | 712 Ainapo St, Honolulu, HI 96825-1050 | 2007-01-26 |
| 1669425906 | Robert Gries | Family Medicine | 6163 Summer St, Honolulu, HI 96821-2342 | 2006-05-18 |
| 1184694192 | Kiyotaka Albert Yazawa | Family Medicine | 1027 Hala Dr, Maluhia, Honolulu, HI 96817 | 2006-01-23 |
| 1679005235 | Devin Hazama I | Family Medicine | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720-7210 | 2017-04-01 |
| 1457703134 | Kai Health, Inc. | Family Medicine | 128 Lehua St, Wahiawa, HI 96786-2036 | 2016-07-06 |
| 1902285059 | Shirley M.m. Hirata | Family Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2015-05-22 |
| 1134525546 | Debra Kettleson Inc | Family Medicine | 670 Ponahawai St Ste 221, Hilo, HI 96720-7829 | 2014-11-12 |
| 1477997096 | Seabrook K. Mow | Family Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2013-04-25 |
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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.