DR. CLYDE T MIYAKI


Address: 1029 Kapahulu Ave, 301, Honolulu, HI 96816-1332
Phone: 8087335111

DR. CLYDE T MIYAKI (NPI# 1457392029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457392029
Entity Type Individual
Full Name DR. CLYDE T MIYAKI
Credential M.D.
Practice Address 1029 Kapahulu Ave
301
Honolulu
HI 96816-1332
Practice Telephone 8087335111
Practice Fax Number 8087335122
Mailing Telephone 8087335111
Mailing Fax Number 8087335122
Enumeration Date 2006-06-08
Last Update Date 2011-01-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD-3994 HI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
HI 024287-01 05

Office Location

Street Address 1029 KAPAHULU AVE
301
City HONOLULU
State HI
Zip Code 96816-1332

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NPI Name Taxonomy Address Enumeration
1073563979 David Shu- An Chou Urology 1029 Kapahulu Ave, Suite 306, Honolulu, HI 96816-1332 2006-05-11
1932744307 Integrative Psychological Services Hawai'i, LLC Psychologist 1029 Kapahulu Ave, Honolulu, HI 96816-1332 2019-11-08
1144723933 Priscilla Pabillano Pharmacist 1029 Kapahulu Ave, Honolulu, HI 96816-1332 2018-03-17
1063911550 Gerin Sakagawa Massage Therapist 1029 Kapahulu Ave, Honolulu, HI 96816-1332 2018-02-09
1598264087 Jason Mendes Physical Therapy Assistant 1029 Kapahulu Ave, Honolulu, HI 96816-1332 2018-02-09
1861934713 Pacific Physical Therapy Physical Therapist 1029 Kapahulu Ave, Suite 401, Honolulu, HI 96816-1332 2016-11-09
1215329594 Longs Drug Stores California LLC Durable Medical Equipment & Medical Supplies 1029 Kapahulu Ave, Ste 303, Honolulu, HI 96816-1332 2015-02-24
1346654001 Hulu Makua LLC Respite Care 1029 Kapahulu Ave, Ste 408, Honolulu, HI 96816-1332 2014-06-19
1285977850 Gesik Physical Therapy LLC Clinic/Center 1029 Kapahulu Ave, Suite 401, Honolulu, HI 96816-1332 2013-04-02
1710237730 Adele R Tomoyasu-oumi Social Worker 1029 Kapahulu Ave, Suite #403, Honolulu, HI 96816-1332 2012-09-17
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NPI Name Taxonomy Address Enumeration
1598370439 Marina Nogues Nurse Practitioner 3901b Maunahilu Pl, Honolulu, HI 96816 2020-09-08
1184272007 Gwen Mikasa Speech-Language Pathologist Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 2019-09-04
1467009290 Abigail Hobbs Occupational Therapist 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 2019-08-26
1588210587 Mona Ann Hiyoto Akina Speech-Language Pathologist 475 2nd Ave., Room 127, Honolulu, HI 96816 2019-08-15
1356996599 Karen Amanda Kama Speech-Language Pathologist Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 2019-08-05
1043864630 Brittni Holt Speech-Language Pathologist 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 2019-07-31
1376197962 Mallory Register Speech-Language Pathologist 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 2019-07-31
1588144935 Mihoko Yacavone Dietitian, Registered 833 15th Ave, Honolulu, HI 96816 2018-08-15
1760976013 Orthopaedic Specialists Hawaii LLC Orthopaedic Surgery 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 2018-06-20
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1952744484 Gavin H Park Internal Medicine 550 S Beretania St Ste 501, Honolulu, HI 96813-2496 2013-04-15
1508100413 Stephen K. Buto, Md, Inc Internal Medicine 1329 Lusitana St Ste 105, Honolulu, HI 96813-2401 2012-11-15
1871618561 Neal T Shimoda M D Inc Internal Medicine 321 N Kuakini St Ste 503, Honolulu, HI 96817-2390 2007-03-20
1346300845 Rodney M Kazama Md Inc Internal Medicine Queens Pob I, 1380 Lusitana St 409, Honolulu, HI 96813-2440 2006-12-12
1457411829 Takakazu Fukumura Internal Medicine 512 Ahakea Street, Honolulu, HI 96816-4758 2006-12-08
1215004775 Warren I. Ono, M.d., Inc. Internal Medicine 321 N Kuakini St Ste 714, Honolulu, HI 96817-2362 2006-11-29
1619986437 Jeong H Kim Internal Medicine 1401 S Beretania St Ste 320, Honolulu, HI 96814-1872 2006-08-08
1306866207 Ankur Jain Internal Medicine 2226 Liliha St Ste 405, Honolulu, HI 96817-1605 2006-07-20
1518993229 Russell Yang Internal Medicine 1650 Liliha St Ste 101, Honolulu, HI 96817-3169 2006-06-24
1093751166 Warren I Ono Internal Medicine Kuakini Medical Plaza, 321 N Kuakini St Ste#714, Honolulu, HI 96817 2006-06-20
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Competitor

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City HONOLULU
Zip Code 96816

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Dataset Information

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.

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