SUZANNE P. KANESHIRO, M.D., INC. (NPI# 1922108463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922108463 |
| Entity Type | Organization |
| Organization Name | SUZANNE P. KANESHIRO, M.D., INC. |
| Practice Address |
405 N Kuakini St Suite 1110 Honolulu HI 96817-6300 |
| Practice Telephone | 8085993520 |
| Practice Fax Number | 8085993524 |
| Mailing Telephone | 8085993520 |
| Mailing Fax Number | 8085993524 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SUZANNE PEGGY KANESHIRO (PRESIDENT) |
| Authorized Official Telephone | 8085993520 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD-11538 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
405 N KUAKINI ST SUITE 1110 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076427 | Kenneth K.h. Lee | Internal Medicine | 405 N Kuakini St, Suite 1004, Honolulu, HI 96817-6300 | 2005-07-14 |
| 1033661939 | Robb T. Shibayama, O.d., Inc. | Optometrist | 405 N Kuakini St, #605, Honolulu, HI 96817-6300 | 2016-10-27 |
| 1992182570 | Christina Viggiano Marzo | Family Medicine | 405 N Kuakini St, Honolulu, HI 96817 | 2015-05-02 |
| 1609116904 | Godofredo B. Baclig, M.d. Inc. | Clinic/Center | 405 N Kuakini St, Suite 1112, Honolulu, HI 96817-6300 | 2013-02-22 |
| 1598024630 | Internal Medicine Honolulu LLC | Internal Medicine | 405 N Kuakini St, Suite 1011, Honolulu, HI 96817-6300 | 2012-05-10 |
| 1376817239 | Matthew S. Adaniya Md, Inc. | Clinic/Center | 405 N Kuakini St, Suite 704, Honolulu, HI 96817-6300 | 2012-02-23 |
| 1275822066 | Amy Lumeng, M.d., Inc. | Pediatrics | 405 N Kuakini St, Suite 1103, Honolulu, HI 96817-6300 | 2011-04-01 |
| 1699072033 | Claudine Kimura, Md, Inc | Internal Medicine | 405 N Kuakini St, #1103, Honolulu, HI 96817-6300 | 2011-02-22 |
| 1922242809 | Carl Joseph Tadaki | Surgery | 405 N Kuakini St, Suite 601, Honolulu, HI 96817-6300 | 2009-04-23 |
| 1245417179 | Lance Michael Kurata, Md, Inc. | Clinic/Center | 405 N Kuakini St, Suite 901, Honolulu, HI 96817-6300 | 2008-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184923765 | Shelbi Ching Jim On | Dermatology | 405 N Kuakini St Ste 703, Honolulu, HI 96817-6302 | 2011-03-21 |
| 1730406232 | Paul I. Sunahara M.d., Inc. | Dermatology | 321 N Kuakini St Ste 610, Honolulu, HI 96817-2388 | 2010-04-23 |
| 1073631362 | Linda E. Fancher | Dermatology | 1010 S King St Ste 220, Honolulu, HI 96814-1703 | 2007-03-26 |
| 1942373865 | Douglas W. Chun | Dermatology | 1380 Lusitana St Ste 412, Honolulu, HI 96813-2440 | 2006-11-16 |
| 1679643134 | Norman Goldstein Md Inc | Dermatology | 1128 Smith St, Honolulu, HI 96817-5139 | 2006-11-09 |
| 1124110879 | Linda E Fancher Md LLC | Dermatology | 1010 South King St, Ste 220, Honolulu, HI 96814 | 2006-09-29 |
| 1609844588 | Joseph Mckinlay | Dermatology | 1003 Bishop Street, Pauahi Tower Suite 380, Honolulu, HI 96813-3429 | 2006-03-08 |
| 1134667603 | Honolulu Dermatology LLC | Dermatology | 1953 S Beretania St, Suite 3c, Honolulu, HI 96826-1300 | 2017-02-06 |
| 1366825655 | Direct Dermatology Professionals Hawaii PC | Dermatology | 1380 Lusitana St Ste 814, Honolulu, HI 96813-2444 | 2015-07-04 |
| 1194112391 | Ethan Thacher Routt | Dermatology | 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 | 2015-04-25 |
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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.