DR. THERESA LYNN RAY FLAMENT (NPI# 1770775249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770775249 |
| Entity Type | Individual |
| Full Name | DR. THERESA LYNN RAY FLAMENT |
| Credential | M.D. |
| Practice Address |
590 Farrington Hwy Suite 524-204 Kapolei HI 96707-2009 |
| Practice Telephone | 8085948579 |
| Mailing Telephone | 8085948579 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2016-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 52522 | MN | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
52522 | MN | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
52522 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
590 FARRINGTON HWY SUITE 524-204 |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518911957 | Accuimaging, LLC | Radiology | 590 Farrington Hwy, Suite 26, Kapolei, HI 96707-2009 | 2006-05-20 |
| 1801421318 | Jennifer Fujio | Pharmacist | 590 Farrington Hwy, Kapolei, HI 96707-2009 | 2020-03-04 |
| 1184256083 | Sharmie Mae Uy | Pharmacist | 590 Farrington Hwy, Kapolei, HI 96707-2009 | 2020-02-08 |
| 1528699014 | Kami Audrey Loftis | Pharmacist | 590 Farrington Hwy, Kapolei, HI 96707-2009 | 2020-02-03 |
| 1952932451 | Joseph Lee | Pharmacist | 590 Farrington Hwy, Kapolei, HI 96707-2009 | 2020-02-03 |
| 1740633114 | Imi Ola Autism Services | Community/Behavioral Health | 590 Farrington Hwy, #524-225, Kapolei, HI 96707-2009 | 2016-07-20 |
| 1629484357 | Kathryn Nekoba-lev | Nurse Practitioner | 590 Farrington Hwy, Kapolei, HI 96707-2009 | 2014-07-02 |
| 1750722765 | Julie Ann Sabin | Nurse Practitioner | 590 Farrington Hwy, Kapolei, HI 96707-2009 | 2013-07-08 |
| 1083808539 | Gerard Barrack | Pharmacist | 590 Farrington Hwy, #210-212, Kapolei, HI 96707-2009 | 2007-08-28 |
| 1629281225 | Jonathan Tai Kook Kim | Family Medicine | 590 Farrington Hwy, Unit 526a, Kapolei, HI 96707-2009 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1154866473 | Golden Dermatology LLC | Dermatology | 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 | 2016-12-21 |
| 1710302765 | Hawaii Skin Cancer Center, LLC | Dermatology | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2014-02-27 |
| 1922234780 | Karl Vance | Dermatology | 1356 Lusitana St Fl 7, Honolulu, HI 96813-2421 | 2009-06-08 |
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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.