HAWAII SKIN CANCER CENTER, LLC (NPI# 1710302765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710302765 |
| Entity Type | Organization |
| Organization Name | HAWAII SKIN CANCER CENTER, LLC |
| Practice Address |
500 Ala Moana Blvd Honolulu HI 96813-4920 |
| Mailing Address |
Po Box 190 Simi Valley CA 93062-0190 |
| Practice Telephone | 8085375522 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | DAVID COHEN (MANAGING MEMBER) |
| Authorized Official Telephone | 8188799600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
500 ALA MOANA BLVD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366874 | Honolulu Surgery Center Lp | Clinic/Center | 500 Ala Moana Blvd, Tower 1 Suite 1b, Honolulu, HI 96813-4920 | 2006-04-20 |
| 1306444328 | Kayla Maher | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-10-12 |
| 1679197511 | Hannah Post | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-06-06 |
| 1225652142 | Gabrielle Del Rosario | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-06-05 |
| 1689224024 | Access To Care America | Clinic/Center | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-09-18 |
| 1689224644 | Christopher Matthew Knightsbridge | Counselor | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-09-12 |
| 1891342390 | Shannon Lundeen-kreuzer | Behavior Technician | 500 Ala Moana Blvd, Attn: Behavioral Health Works, Honolulu, HI 96813-4920 | 2019-08-20 |
| 1598311185 | William James Woodin | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-08-10 |
| 1588133383 | Yuna Chang | Nurse Practitioner | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2018-11-21 |
| 1821566860 | Charissa Taylor | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154866473 | Golden Dermatology LLC | Dermatology | 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 | 2016-12-21 |
| 1922234780 | Karl Vance | Dermatology | 1356 Lusitana St Fl 7, Honolulu, HI 96813-2421 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902670 | Kenny R. Malott M.d. Inc. | Dermatology | 375 Huku Lii Pl Ste 201, Kihei, HI 96753-8996 | 2018-11-28 |
| 1174624019 | Alan S. W. Song | Dermatology | 1300 N Holopono St Ste 215, Kihei, HI 96753-6945 | 2006-09-25 |
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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.