DR. PANUPONG JIAMSRIPONG (NPI# 1801186200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801186200 |
| Entity Type | Individual |
| Full Name | DR. PANUPONG JIAMSRIPONG |
| Credential | M.D. |
| Practice Address |
98-1079 Moanalua Rd Aiea HI 96701-4713 |
| Practice Telephone | 8084866000 |
| Mailing Telephone | 8084866000 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
17399 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
98-1079 MOANALUA RD |
| City | AIEA |
| State | HI |
| Zip Code | 96701-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555449 | Lloyd T Kobayashi | Family Medicine | 98-1079 Moanalua Rd, Suite 450, Aiea, HI 96701-4713 | 2005-08-10 |
| 1639640683 | Jenna Corsi | Dietitian, Registered | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2018-12-16 |
| 1093241218 | Nina Ho Kayo | Family Medicine | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2017-05-08 |
| 1346602513 | Pali Momi | Clinic/Center | 98-1079 Moanalua Rd, Mob 640, Aiea, HI 96701-4713 | 2016-03-25 |
| 1770943680 | Yushiu Lin | Nurse Practitioner | 98-1079 Moanalua Rd, Suite 640, Aiea, HI 96701-4713 | 2016-03-04 |
| 1770966285 | Erlinda Riofta Infante | Registered Nurse | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-07-01 |
| 1245610377 | Martin Osorno | Dietitian, Registered | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-06-03 |
| 1740669894 | Brooke T. Yorita | Family Medicine | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-05-22 |
| 1679968804 | Amy Hui-jiun Tsang | Nurse Practitioner | 98-1079 Moanalua Rd, Suite 570, Aiea, HI 96701-4713 | 2015-04-03 |
| 1326430968 | Shayne Castanera Md Corp | Internal Medicine | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
| 1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
| 1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
| 1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
| 1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
| 1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
| 1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
| 1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083719140 | Eugene Magnier Md Facc Inc | Internal Medicine | 99-128 Aiea Heights Dr Ste 405, Aiea, HI 96701-3989 | 2006-09-13 |
| 1306184148 | Bradley Koizumi Md Inc | Internal Medicine | 99-128 Aiea Heights Dr, Suite 106, Aiea, HI 96701-3925 | 2013-01-30 |
| 1821350174 | Mwc Cardiovascular Consultants, Inc | Internal Medicine | 98-1079 Moanalua Rd, Suite 655, Aiea, HI 96701-4713 | 2012-06-12 |
| 1003841834 | Michael Wayne Chan | Internal Medicine | 98-1079 Moanalua Rd, Suite 655, Aiea, HI 96701-4713 | 2006-07-11 |
| 1467494732 | Hiro Makino | Internal Medicine | 98-1247 Kaahumanu St, Suite 208, Aiea, HI 96701-5311 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762760 | Kona Cardiovascular Inc | Internal Medicine | 75-167 Hualalai Rd Ste 100, Kailua Kona, HI 96740-1714 | 2019-07-22 |
| 1275090706 | Steven S Azuma Md Inc | Internal Medicine | 321 N Kuakini St Ste 709, Honolulu, HI 96817-2362 | 2019-02-20 |
| 1538363718 | Armand J Wohl Md Facc Medical Corp | Internal Medicine | 74-5620 Palani Rd # 100, Kailua Kona, HI 96740-3640 | 2007-06-12 |
| 1245452911 | Wesley C. Wakai, M.d., Inc. | Internal Medicine | 1010 South King Street, Suite 205, Honolulu, HI 96814-1798 | 2007-05-03 |
| 1871637397 | Ramez Bassir | Internal Medicine | 1221 Victoria St Apt 2804, Honolulu, HI 96814-1441 | 2007-02-16 |
| 1851432512 | Bernard W.d. Fong | Internal Medicine | 97 Dowsett Ave, Honolulu, HI 96817-1107 | 2007-02-08 |
| 1659430072 | Coolidge S Wakai | Internal Medicine | 1010 S King Street, Suite 110, Honolulu, HI 96814-1702 | 2006-12-08 |
| 1578641197 | Craig P. Goard | Internal Medicine | 53-532 Iole Rd., Kapaau, HI 96755-1774 | 2006-11-01 |
| 1184721763 | Armand J. Wohl | Internal Medicine | 74-5620 Palani Rd, Suite 100, Kailua Kona, HI 96740-3640 | 2006-09-17 |
| 1467557660 | Aloha Cardiology LLC | Internal Medicine | 210 Imi Kala St, Ste 209, Wailuku, HI 96793-1274 | 2006-09-13 |
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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.