DR. BRUCE R. TAYLOR (NPI# 1609959493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609959493 |
| Entity Type | Individual |
| Full Name | DR. BRUCE R. TAYLOR |
| Credential | MD |
| Practice Address |
80 Mahalani St Wailuku HI 96793-2531 |
| Practice Telephone | 8082436000 |
| Mailing Telephone | 8082436000 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD-5363 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 020052-01 | 05 | |
| HI | HMSA BILLING NUMBER | 0000022160 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487821559 | Bruce Jackson Taylor Jr. | Plastic Surgery | 3910 Sweeten Creek Rd, Chapel Hill, NC 27514-9719 | 2008-05-08 |
| 1669681607 | Bruce Willard Taylor | Social Worker | 496 E Spring Ln, Lemoore, CA 93245-2449 | 2007-05-22 |
| 1861607889 | Bruce Samuel Taylor | Pharmacist | 12805 Princeleigh St, Upper Marlboro, MD 20774-1708 | 2007-05-12 |
| 1477622967 | Bruce Taylor | Dentist | 2100 E Matthews Ave, Jonesboro, AR 72401-4332 | 2006-11-07 |
| 1760410849 | Bruce Taylor | Family Medicine | 4258 Us Highway 80 W, Selma, AL 36701-2202 | 2006-06-29 |
| 1205294337 | Bruce Taylor | Non-emergency Medical Transport (VAN) | 315 E Meadow Dr, Athens, GA 30605-6204 | 2016-02-03 |
| 1104969492 | Bruce T Taylor | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2007-02-15 |
| 1790885903 | Bruce E. Taylor | Specialist | 1101 S 70th St, # 203, Lincoln, NE 68510-4293 | 2006-09-25 |
| 1194838433 | Bruce Taylor | Family Medicine | 2400 Wible Rd, Ste 14, Bakersfield, CA 93304 | 2006-08-17 |
| 1811915135 | Bruce L Taylor | Family Medicine | 577 S River Rd, St George, UT 84790-2097 | 2006-07-17 |
| Street Address |
80 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053800 | Hillary Blake Hardy | Physical Therapist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-05-23 |
| 1437620515 | Heidi Kyoko Garcia | Clinical Nurse Specialist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2018-12-16 |
| 1275985111 | Kaiser Permanente | Clinic/Center | 80 Mahalani St, Wailuku, HI 96793-2531 | 2016-07-04 |
| 1033516687 | Cassandra Bick Johnson | Dietitian, Registered | 80 Mahalani St, Wailuku, HI 96793-2531 | 2014-11-25 |
| 1073888194 | Rainbow Dialysis LLC | Clinic/Center | 80 Mahalani St, Ste 100, Wailuku, HI 96793-2531 | 2012-03-22 |
| 1558633685 | Stephanie Hokulani Garcia | Registered Nurse | 80 Mahalani St, Wailuku, HI 96793-2531 | 2012-02-06 |
| 1376714451 | Benjamin T. Shurtleff | Urology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2008-03-17 |
| 1699964775 | Connie J Debord | Social Worker | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-10-15 |
| 1386843571 | Kristin M Redenbaugh | Obstetrics & Gynecology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-07-17 |
| 1578769964 | Courtney Michelle Ramirez | Internal Medicine | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366598872 | Gary A Edwards | Ophthalmology | 450 Ho'okahi Street, Aloha Eye Clinic, Wailuku, HI 96793 | 2007-01-26 |
| 1306872874 | Uma D Chaluvadi | Ophthalmology | 1308 W Hiahia Pl, Wailuku, HI 96793-9762 | 2006-06-24 |
| 1104889583 | Jivin G Tantisira | Ophthalmology | 450 Hookahi St, Wailuku, HI 96793-1447 | 2006-04-07 |
| 1770773301 | Lev Lawrence Grunstein | Ophthalmology | 450 Hookahi St, Wailuku, HI 96793-1474 | 2007-07-30 |
| 1275549453 | Clifford Rhodes | Ophthalmology | 2180 Main St, Wailuku, HI 96793-1666 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048005 | Oculofacial Plastic Surgery of Hawaii Inc | Ophthalmology | 1301 Punchbowl St # 912, Honolulu, HI 96813-2402 | 2020-06-16 |
| 1629534268 | Project Vision Hawaii | Ophthalmology | 1110 Nuuanu Ave, Honolulu, HI 96817-5119 | 2019-02-19 |
| 1285096289 | Jonathan Lo | Ophthalmology | 1441 Kapiolani Blvd Ste 418, Honolulu, HI 96814-4400 | 2016-03-28 |
| 1760820633 | Daniel Sung Choi | Ophthalmology | 1712 Liliha St Ste 400, Honolulu, HI 96817-3114 | 2013-06-12 |
| 1366795155 | Jeffrey Jay Rutgard | Ophthalmology | 95-717 Kipapa Drive #23, Mililani, HI 96789 | 2012-10-18 |
| 1124381652 | Sarah Parker Read | Ophthalmology | 98-1079 Moanalua Rd Ste 470, Aiea, HI 96701-4723 | 2012-06-19 |
| 1598024077 | Neda Nikpoor | Ophthalmology | 1100 Ward Ave Ste 1000, Honolulu, HI 96814-1620 | 2012-05-03 |
| 1780942722 | Anna Walker Parlin | Ophthalmology | 1329 Lusitana St Ste 502, Honolulu, HI 96813 | 2012-04-27 |
| 1578889945 | Jeffrey Peterson | Ophthalmology | 615 Piikoi St Ste 205, Honolulu, HI 96814-3139 | 2010-04-10 |
| 1619118718 | Maehara Eye Surgery & Laser LLC | Ophthalmology | 94-239 Waipahu Depot Street, #105, Waipahu, HI 96797-3095 | 2009-03-19 |
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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.