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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD-3994 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 024287-01 | 05 |
| Street Address |
1029 KAPAHULU AVE 301 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-1332 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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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| 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.