LISA KIM (NPI# 1720304819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720304819 |
| Entity Type | Individual |
| Full Name | LISA KIM |
| Credential | M.D. |
| Practice Address |
1301 Punchbowl St Iolani 4, Hawaii Pathologists' Laboratory Honolulu HI 96813-2402 |
| Mailing Address |
702 S Beretania St Suite B100 Honolulu HI 96813-2599 |
| Practice Telephone | 8086914271 |
| Mailing Telephone | 8086914271 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD15795 | HI | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036120781 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752569 | Lisa Ann Kim | Occupational Therapist | 13562 Purdy St, Garden Grove, CA 92844-2522 | 2020-05-20 |
| 1700288305 | Lisa Young Kim | Pharmacist | 2100 Valencia Dr Apt 305, Northbrook, IL 60062-7088 | 2014-09-25 |
| 1942341250 | Lisa Sunhee Kim | Internal Medicine | 2604 Dempster St Ste 300, Park Ridge, IL 60068-8427 | 2007-02-09 |
| 1811061674 | Lisa R Kim | Dentist | 241 S Beverly Dr, Beverly Hills, CA 90212-3807 | 2006-11-20 |
| 1982795753 | Lisa M Kim | Internal Medicine | 3355 Rogers Ave, Ellicott City, MD 21043-4105 | 2006-09-27 |
| 1154969160 | Lisa Kim | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-12-20 |
| 1093276842 | Lisa Kim | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Fl 3, Columbus, OH 43210-1267 | 2019-03-26 |
| 1972087773 | Lisa Jisun Kim | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2018-09-18 |
| 1548754385 | Lisa Jiyoung Kim | Nurse Practitioner | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2018-06-15 |
| 1427577931 | Lisa Kim | Pharmacist | 13000 Indian School Rd Ne, Albuquerque, NM 87112-4803 | 2017-09-15 |
| Street Address |
1301 PUNCHBOWL ST IOLANI 4, HAWAII PATHOLOGISTS' LABORATORY |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612764 | The Queen's Medical Center | Psychiatric Unit | 1301 Punchbowl St, Honolulu, HI 96813 | 2005-10-07 |
| 1104426774 | Dana Monday | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-10-31 |
| 1104438654 | Jennifer Nguyen Lam | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-08-17 |
| 1497371470 | Maria Pimenova | Pathology | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-06-24 |
| 1972125235 | Scott Shokichi Amuro | Respiratory Therapist, Registered | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-05-09 |
| 1407485196 | Marvik Vasquez Fernandez | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-04-04 |
| 1851927198 | Tundra Nicole Weaver | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-03-18 |
| 1407487671 | Ashley Nicole Aquino Catapang | Physician Assistant | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-01-28 |
| 1750929253 | Cheryl Ann Afuso-sumimoto | Clinical Nurse Specialist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-12-15 |
| 1770126658 | Ann Frost | Physical Therapist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-10-23 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104723 | Janira Marita Navarro Sanchez | Pathology | 1356 Lusitana St Fl 5, Honolulu, HI 96813-2409 | 2018-05-17 |
| 1891110821 | Cassie Lee | Pathology | 347 No. Kuakini St, Honolulu, HI 96817-2336 | 2014-02-27 |
| 1578726949 | Todd Mitsugi Nishimoto | Pathology | 1643 Palolo Ave Apt B, Honolulu, HI 96816-2554 | 2008-07-07 |
| 1457558785 | Lishi Qian Douglas | Pathology | University of Hawaii Pathology Residency Program, 651 Ilalo St, #401a, Honolulu, HI 96813 | 2007-06-29 |
| 1225197023 | David T Horio | Pathology | 3320 Oahu Ave, Honolulu, HI 96822-1252 | 2006-12-07 |
| 1083799670 | Karen S Thompson | Pathology | 1309 Punahou St., Basement, Honolulu, HI 96826 | 2006-10-25 |
| 1891807293 | Steven Komura | Pathology | 550 Paiea St, Suite 210, Honolulu, HI 96819-1856 | 2006-08-31 |
| 1174504724 | Muhammad S Rahman | Pathology | Tripler Army Medical Center, 1 Jarrett White Road, Dept of Pathology, Honolulu, HI 96859-5000 | 2005-11-10 |
| 1952919300 | Oli Jacobsen | Pathology | 1356 Lusitana St Fl 5, Honolulu, HI 96813-2409 | 2020-07-21 |
| 1780201962 | Digjaya Utama | Pathology | 1356 Lusitana St Fl 5, Honolulu, HI 96813-2409 | 2020-07-02 |
| Find all providers in HONOLULU | ||||
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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.