DR. PHILIP SU (NPI# 1780005322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780005322 |
| Entity Type | Individual |
| Full Name | DR. PHILIP SU |
| Credential | MD |
| Practice Address |
521 Hahaione St 10k Honolulu HI 96825-1456 |
| Practice Telephone | 8083958040 |
| Practice Fax Number | 8083958040 |
| Mailing Telephone | 8083958040 |
| Mailing Fax Number | 8083958040 |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2013-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD 12825 | HI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346700788 | Philip Su | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2019-03-21 |
| Street Address |
521 HAHAIONE ST 10K |
| City | HONOLULU |
| State | HI |
| Zip Code | 96825-1456 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760925960 | Brandon Allen Greene | Specialist | 1281 S King St, Honolulu, HI 96814-2254 | 2016-11-21 |
| 1013460096 | Julia Vergara | Specialist | 3071 Pualei Cir Apt 202, Honolulu, HI 96815-4933 | 2016-07-26 |
| 1336598051 | Ryan Root | Specialist | 2404 Burbank St, Honolulu, HI 96817-1431 | 2016-06-03 |
| 1043683725 | Jhoan Acosta | Specialist | 1922 Lohilani St, Honolulu, HI 96819-4136 | 2015-11-04 |
| 1689043598 | Randy Hampton | Specialist | 765 Amana St Ste 205, Honolulu, HI 96814-3248 | 2015-09-21 |
| 1922482462 | Dana Dieterich | Specialist | 1949 Naio St, Honolulu, HI 96817-2048 | 2015-07-15 |
| 1760810063 | Firstvitals Health and Wellness Inc | Specialist | 1288 Ala Moana Blvd, 27e, Honolulu, HI 96814-4206 | 2013-10-23 |
| 1053654046 | Eugene M Kawaguchi | Specialist | 509 University Ave, #1004, Honolulu, HI 96826-5001 | 2013-03-28 |
| 1407195936 | Sharon S Sakamoto | Specialist | 1401 Ala Aolani St, Honolulu, HI 96819-1404 | 2013-02-04 |
| 1952659591 | Carl Wright Boyer Jr. | Specialist | 920 Ward Ave, Apt. 17dd, Honolulu, HI 96814-2115 | 2012-08-28 |
| 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.