DR. MICHAEL WATTERS (NPI# 1912940149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912940149 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WATTERS |
| Credential | M.D. |
| Practice Address |
1380 Lusitana Street, #709 Honolulu HI 96813 |
| Mailing Address |
677 Ala Moana Blvd, Suite 1025 Honolulu HI 96813-5419 |
| Practice Telephone | 8085230941 |
| Practice Fax Number | 8085230942 |
| Mailing Telephone | 8085355975 |
| Mailing Fax Number | 8085355976 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD5544 | HI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 087647-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164586699 | Michael Brian Watters | Optometrist | 2020 N Harrison, Shawnee, OK 74804 | 2006-12-20 |
| 1801183025 | Michael Brandon Watters | Physical Therapy Assistant | 75 Fisher Loop, Maggie Valley, NC 28751-5531 | 2011-07-08 |
| Street Address |
1380 LUSITANA STREET, #709 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813 |
| 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 | 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 |
| 1780005322 | Philip Su | Specialist | 521 Hahaione St, 10k, Honolulu, HI 96825-1456 | 2013-12-28 |
| 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 |
| 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.