THERESA IHSIN WANG (NPI# 1467449173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467449173 |
| Entity Type | Individual |
| Full Name | THERESA IHSIN WANG |
| Credential | M.D. |
| Practice Address |
75-5751 Kuakini Hwy Suite 101a Kailua Kona HI 96740-1752 |
| Practice Telephone | 8083265629 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 13983 | HI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 38667 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124589411 | Theresa Nicole Wang | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave # 670, Columbus, OH 43210-1267 | 2019-03-28 |
| 1881021186 | Theresa Vo Wang | Optometrist | 19500 Se Stark St, Portland, OR 97233-5757 | 2013-10-01 |
| 1427304724 | Theresa Wang | Dentist | 200 S Michigan Ave, Suite 1400, Chicago, IL 60604-2402 | 2012-07-24 |
| 1205051067 | Theresa Wang | Midwife | 1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566-2913 | 2007-04-16 |
| 1104958529 | Theresa Wang | Acupuncturist | 7400 Harwin Dr, Suite 306, Houston, TX 77036-2014 | 2007-03-12 |
| 1023174901 | Theresa Wang | Plastic Surgery | 1218 W Paces Ferry Rd Nw, Atlanta, GA 30327-2308 | 2006-12-28 |
| Street Address |
75-5751 KUAKINI HWY SUITE 101A |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118971 | David Marvin Woodliff | Family Medicine | 75-5751 Kuakini Hwy, Ste 203, Kailua Kona, HI 96740-1752 | 2005-07-21 |
| 1013514868 | Melissa John Manasas | Social Worker | 75-5751 Kuakini Hwy, Kailua Kona, HI 96740-1752 | 2020-10-05 |
| 1285187773 | Katherine Knezek May | Psychologist | 75-5751 Kuakini Hwy, Suite #104, Kailua Kona, HI 96740-1752 | 2016-08-01 |
| 1780036517 | Ibid M Nicolaisen | Nurse Practitioner | 75-5751 Kuakini Hwy, Ste 203, Kailua Kona, HI 96740-1752 | 2016-07-05 |
| 1912391764 | Steven Nishimoto | Pharmacist | 75-5751 Kuakini Hwy, Ste #104, Kailua Kona, HI 96740-1752 | 2015-03-18 |
| 1669802310 | Erin G Beasley | Nurse Practitioner | 75-5751 Kuakini Hwy, Ste 203, Kailua Kona, HI 96740-1753 | 2013-11-16 |
| 1033463948 | Robert Peter Edmonds | Family Medicine | 75-5751 Kuakini Hwy, Suite 101, Kailua Kona, HI 96740-1752 | 2012-10-30 |
| 1841566064 | Shannon Price | Family Medicine | 75-5751 Kuakini Hwy, Ste 203, Kailua Kona, HI 96740-1752 | 2012-04-02 |
| 1821386095 | Anjalie Rose Graham | Nurse Practitioner | 75-5751 Kuakini Hwy, Kailua Kona, HI 96740-1752 | 2011-07-21 |
| 1609162981 | Cindy A Jean-rooney | Nurse Practitioner | 75-5751 Kuakini Hwy, Suite 203, Kailua Kona, HI 96740-1752 | 2011-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| 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 |
|---|---|---|---|---|
| 1073883807 | Eugene Field Moore | Family Medicine | 75-233 Nani Kailua Dr, Unit # 97, Kailua Kona, HI 96740-2033 | 2012-01-10 |
| 1902126618 | Heather Miner | Family Medicine | 75-5751 Kuakini Hwy Ste 101, Kailua Kona, HI 96740-1705 | 2010-06-03 |
| 1528227816 | North Kona Urgent Care Center | Family Medicine | 78 6831 Alii Dr, Ste K9, Kailua Kona, HI 96740 | 2008-06-03 |
| 1184842619 | Kenneth Wayne Mchenry | Family Medicine | 74-4983 Palani Rd, Kailua Kona, HI 96740-9653 | 2007-04-22 |
| 1952432742 | Robert Lewis Simich | Family Medicine | 77-6579 Kuakini Hwy, Kailua Kona, HI 96740-9747 | 2007-03-07 |
| 1104982909 | David Mccandless | Family Medicine | 78-6831 Alii Dr Ste 418, Kailua Kona, HI 96740-5403 | 2006-12-28 |
| 1164592077 | Lambert K Lee Loy | Family Medicine | 78-6831 Alii Dr Ste 116, Kailua Kona, HI 96740-2440 | 2006-11-08 |
| 1548233380 | Laura J Ankrum | Family Medicine | 75-5751 Kuakini Hwy Ste 203, Kailua Kona, HI 96740-1753 | 2006-02-10 |
| 1982693503 | Trenton E Knewtson | Family Medicine | 77-311 Sunset Dr, Kailua Kona, HI 96740-9754 | 2005-10-17 |
| 1033118971 | David Marvin Woodliff | Family Medicine | 75-5751 Kuakini Hwy, Ste 203, Kailua Kona, HI 96740-1752 | 2005-07-21 |
| Find all providers in KAILUA KONA | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.