GODOFREDO B. BACLIG, M.D. INC. (NPI# 1609116904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609116904 |
| Entity Type | Organization |
| Organization Name | GODOFREDO B. BACLIG, M.D. INC. |
| Practice Address |
405 N Kuakini St Suite 1112 Honolulu HI 96817-6300 |
| Practice Telephone | 8085245024 |
| Practice Fax Number | 8085245715 |
| Mailing Telephone | 8085245024 |
| Mailing Fax Number | 8085245715 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | DR. GODOFREDO BACLIG (PRESIDENT) |
| Authorized Official Telephone | 8085245024 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD-8967 | HI | Ambulatory Health Care Facilities |
| Street Address |
405 N KUAKINI ST SUITE 1112 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076427 | Kenneth K.h. Lee | Internal Medicine | 405 N Kuakini St, Suite 1004, Honolulu, HI 96817-6300 | 2005-07-14 |
| 1033661939 | Robb T. Shibayama, O.d., Inc. | Optometrist | 405 N Kuakini St, #605, Honolulu, HI 96817-6300 | 2016-10-27 |
| 1992182570 | Christina Viggiano Marzo | Family Medicine | 405 N Kuakini St, Honolulu, HI 96817 | 2015-05-02 |
| 1598024630 | Internal Medicine Honolulu LLC | Internal Medicine | 405 N Kuakini St, Suite 1011, Honolulu, HI 96817-6300 | 2012-05-10 |
| 1376817239 | Matthew S. Adaniya Md, Inc. | Clinic/Center | 405 N Kuakini St, Suite 704, Honolulu, HI 96817-6300 | 2012-02-23 |
| 1275822066 | Amy Lumeng, M.d., Inc. | Pediatrics | 405 N Kuakini St, Suite 1103, Honolulu, HI 96817-6300 | 2011-04-01 |
| 1699072033 | Claudine Kimura, Md, Inc | Internal Medicine | 405 N Kuakini St, #1103, Honolulu, HI 96817-6300 | 2011-02-22 |
| 1922242809 | Carl Joseph Tadaki | Surgery | 405 N Kuakini St, Suite 601, Honolulu, HI 96817-6300 | 2009-04-23 |
| 1245417179 | Lance Michael Kurata, Md, Inc. | Clinic/Center | 405 N Kuakini St, Suite 901, Honolulu, HI 96817-6300 | 2008-01-22 |
| 1659552925 | Raine Gay Fukuda | Urology | 405 N Kuakini St, Suite 1103, Honolulu, HI 96817-6300 | 2007-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498680 | Blane K. Chong, Md Sports Medicine and Family Practice | Clinic/Center | 3221 Waialae Ave Ste 390, Honolulu, HI 96816-5850 | 2020-08-20 |
| 1497371348 | Vinson K Diep Md Inc | Clinic/Center | 1319 Punahou St Ste 1190, Honolulu, HI 96826-1089 | 2020-06-16 |
| 1972071538 | Foundaton Research | Clinic/Center | 1314 S King St Ste 653, Honolulu, HI 96814-1979 | 2018-11-12 |
| 1962929398 | Mark T. Kuge,md,inc | Clinic/Center | 1481 S King St Ste 310, Honolulu, HI 96814-2684 | 2017-08-25 |
| 1790230480 | Emi Ota, M.d., Inc. | Clinic/Center | 850 W Hind Dr Ste 205, Honolulu, HI 96821-1845 | 2016-08-23 |
| 1689024895 | Ken Health Care International, Inc. | Clinic/Center | 2250 Kalakaua Ave, Suite 407, Honolulu, HI 96815-2542 | 2016-06-18 |
| 1124423884 | Nikki P Inamine Md LLC | Clinic/Center | 1660 S King St Ste 102, Honolulu, HI 96826-2066 | 2014-10-23 |
| 1841618048 | Kenneth M. Sunamoto, M.d., Inc | Clinic/Center | 321 N Kuakini St Ste 813, Honolulu, HI 96817-2362 | 2014-04-03 |
| 1043643760 | Ashlee C. Nekoba, M.d. LLC | Clinic/Center | 1380 Lusitana St Ste 510, Honolulu, HI 96813-2441 | 2013-08-16 |
| 1699835090 | H.h. Chun, M.d., Inc. | Clinic/Center | 321 N Kuakini St Ste 514, Honolulu, HI 96817-2361 | 2006-12-08 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on GODOFREDO B. BACLIG, M.D. INC..
| 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.