DR. BLAKE ANDREW SMITH (NPI# 1760512966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760512966 |
| Entity Type | Individual |
| Full Name | DR. BLAKE ANDREW SMITH |
| Credential | M.D. |
| Practice Address |
1301 Punchbowl St Honolulu HI 96813-2402 |
| Mailing Address |
770 Kapiolani Blvd Ste 705 Honolulu HI 96813-5241 |
| Practice Telephone | 8085474311 |
| Mailing Telephone | 8085978791 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 15211 | HI | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 134234 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780927269 | Blake Robert Smith | Otolaryngology | 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096-4506 | 2013-04-03 |
| 1952591398 | Blake E Smith | Optometrist | 4612 S Coulter St, Amarillo, TX 79119-6403 | 2007-08-01 |
| 1649839317 | Blake Edward Smith | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-06-06 |
| 1275089609 | Blake Smith | Specialist | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-08-26 |
| 1639547904 | Blake Eric Smith | Occupational Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2015-09-03 |
| 1770979221 | Blake Gaither Smith | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249 | 2015-04-11 |
| 1093132631 | Blake Andre Smith | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2014-03-20 |
| 1881031946 | Blake Daniel Smith | Dentist | 2600 Bemidji Ave N, Bemidji, MN 56601-2324 | 2013-05-30 |
| 1760718282 | Blake Smith | Registered Nurse | 80 Enoch Blvd, Savannah, TN 38372 | 2009-10-19 |
| 1518192533 | Blake Allen Smith | Psychiatry & Neurology | 4805 Montgomery Rd, Suite 410, Cincinnati, OH 45212-2198 | 2009-05-19 |
| Street Address |
1301 PUNCHBOWL ST |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047191 | Iuc Holdings Inc | Emergency Medicine | 400 Keawe St, Honolulu, HI 96813-5199 | 2016-08-04 |
| 1518385236 | Eric S Kiechle | Emergency Medicine | 770 Kapiolani Blvd, Suite 705, Honolulu, HI 96813-5241 | 2014-03-31 |
| 1033465547 | Daniel James Hutchens | Emergency Medicine | 1301 Punchbowl St # 1, Honolulu, HI 96813-2402 | 2012-08-02 |
| 1134413735 | Jamie Heitzinger | Emergency Medicine | 1300 Punchbowl St, Honolulu, HI 96813 | 2011-06-01 |
| 1578890984 | Linda Rosen | Emergency Medicine | 3672 Kilauea Ave., Honolulu, HI 96816 | 2009-11-05 |
| 1720234180 | Michael Shin | Emergency Medicine | 2477 Halekoa Dr, Honolulu, HI 96821-1039 | 2008-08-16 |
| 1093970790 | Grace Curry Packard | Emergency Medicine | 770 Kapiolani Blvd # 770, Honolulu, HI 96813-5212 | 2008-07-22 |
| 1568626000 | Kyle Ray Perry | Emergency Medicine | 1212 Nuuanu Ave Apt 3707, Honolulu, HI 96817-4040 | 2008-07-14 |
| 1023280559 | Douglas Clark Ostman | Emergency Medicine | 3196 Diamond Head Rd, Honolulu, HI 96815-4720 | 2008-03-25 |
| 1962681262 | Melissa Kay Schmidt | Emergency Medicine | 13001 Punchbowl Street, Queens Medical Center, Honolulu, HI 96813-0000 | 2007-11-02 |
| 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.