GARY W AHN (NPI# 1639260441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639260441 |
| Entity Type | Individual |
| Full Name | GARY W AHN |
| Credential | MD |
| Practice Address |
377 Keahole St Honolulu HI 96825-3405 |
| Mailing Address |
838 S Beretania St Suite 307 Honolulu HI 96813-2524 |
| Practice Telephone | 8083966675 |
| Practice Fax Number | 8083952104 |
| Mailing Telephone | 8085474600 |
| Mailing Fax Number | 8085474559 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
MD7115 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 068133 | 05 |
| Street Address |
377 KEAHOLE ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96825-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407838162 | Roger Christian Ede | Optometrist | 377 Keahole St, Honolulu, HI 96825-3405 | 2005-11-17 |
| 1255949186 | Della L. Magno | Physical Therapist | 377 Keahole St, Honolulu, HI 96825-3405 | 2020-07-16 |
| 1386263812 | Cristina Cummings | Nurse Practitioner | 377 Keahole St, Honolulu, HI 96825-3405 | 2020-04-14 |
| 1740830918 | Deanna Lynn Scruggs | Registered Nurse | 377 Keahole St, Honolulu, HI 96825-3405 | 2019-09-18 |
| 1144707548 | Jennifer Elliott Collins | Nurse Practitioner | 377 Keahole St, Honolulu, HI 96825-3405 | 2018-07-27 |
| 1811499213 | Scott Hashimoto | Pharmacist | 377 Keahole St, Honolulu, HI 96825-3405 | 2018-03-02 |
| 1790287993 | David Chi | Pharmacist | 377 Keahole St, Honolulu, HI 96825-3405 | 2018-03-02 |
| 1952802696 | Shannon Sumida | Pharmacist | 377 Keahole St, Honolulu, HI 96825-3405 | 2018-02-27 |
| 1285135285 | Cindy Li Taga | Pharmacist | 377 Keahole St, Honolulu, HI 96825-3405 | 2018-02-24 |
| 1881195022 | Jenny Matsumoto-hussey | Pharmacist | 377 Keahole St, Honolulu, HI 96825-3405 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544616 | Greg Keast | Social Worker | 739 Kealahou Street, Honolulu, HI 96825 | 2020-06-30 |
| 1235606070 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 600 Kalanianaole Hwy, Suite 114a, Honolulu, HI 96825 | 2018-10-30 |
| 1376019927 | Victoria Liou-johnson | Clinical Neuropsychologist | 7192 Kalanianaole Hwy Ste A143a #264, Honolulu, HI 96825 | 2018-10-22 |
| 1518450527 | Wendy Lin Farah | Social Worker | 7192 Kalanianaole Highway, Suite A143a #276, Honolulu, HI 96825 | 2018-06-13 |
| 1699175125 | Kathy Akiyo Maemori | Speech-Language Pathologist | 418 Opihkao Pl, Honolulu, HI 96825 | 2014-09-03 |
| 1386994697 | Brian Alexander O'hara | Pediatrics | 6750 Hawaii Kai Drive #1208, Honolulu, HI 96825 | 2012-09-13 |
| 1356617112 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7192 Kalanianaole Hwy Ste C119, Honolulu, HI 96825 | 2012-03-27 |
| 1104065085 | Keith A. Vodzak | Dentist | 377 Keahole St., Suite #211, Honolulu, HI 96825 | 2009-02-17 |
| 1528219144 | Yoko Kokuni | Counselor | 340 Kawaihae St. #340f, Honolulu, HI 96825 | 2008-10-01 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| Find all providers in zip 96825 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1104379536 | Cpc Hawaii Life Center LLC | Internal Medicine | 1330 Ala Moana Blvd, Unit 9, Honolulu, HI 96814-4200 | 2016-08-02 |
| 1861752875 | Myles Suehiro, M.d., Inc | Internal Medicine | 1585 Kapiolani Blvd, Suite 1645, Honolulu, HI 96814-4522 | 2012-05-23 |
| 1477544468 | Daven K Chun | Internal Medicine | 321 N Kuakini St, Suite 514, Honolulu, HI 96817-2364 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346408820 | Clayton Austin Everline | Internal Medicine | 68-615 Farrington Hwy, 21a, Waialua, HI 96791-9377 | 2008-05-30 |
| 1871819318 | Waves of Health LLC | Internal Medicine | 68-615 Farrington Hwy, 21a, Waialua, HI 96791-9377 | 2010-04-08 |
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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.