STEPHEN K. CHAN (NPI# 1922108810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922108810 |
| Entity Type | Individual |
| Full Name | STEPHEN K. CHAN |
| Credential | MD |
| Practice Address |
3288 Moanalua Rd Honolulu HI 96819-1469 |
| Practice Telephone | 8084320000 |
| Mailing Telephone | 8084320000 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD-12837 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BILLING NUMBER | 0000248633 | 01 |
| HI | 555469-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699157222 | Stephen Chan | Student in an Organized Health Care Education/Training Program | Wbamc, Attn: Gme, 5005 N. Piedras St., El Paso, TX 79920-5001 | 2015-06-19 |
| 1730160524 | Stephen Y Chan | Internal Medicine | 200 Lothrop Street, Bst E1240, Pittsburgh, PA 15213-2536 | 2005-11-08 |
| 1477167179 | Stephen Andrew Chan | Registered Nurse | 9380 Forestwood Ln Ste B, Manassas, VA 20110-4735 | 2020-09-01 |
| 1073019899 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 | 2018-04-02 |
| 1982109138 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2018-03-29 |
| 1568994010 | Stephen A Chan | Otolaryngology | 200 1st St Sw, Rochester, MN 55905 | 2017-04-03 |
| 1760833420 | Stephen Michael Chan | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2016-06-23 |
| 1598029845 | Stephen M. Chan | Physical Therapist | 2500 Merced St, San Leandro, CA 94577-4201 | 2012-07-02 |
| 1356638597 | Stephen Chan | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-07-08 |
| 1659556140 | Stephen L Chan | Pharmacist | 4150 Clement Street, San Francisco, CA 94121 | 2008-01-03 |
| Street Address |
3288 MOANALUA RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556124 | Richard Edward Shields | Pharmacist | 3288 Moanalua Rd, Kaiser Permanente Hawaii, Honolulu, HI 96819 | 2005-05-24 |
| 1629681838 | Beatrice Xiaoying Huang | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-26 |
| 1962014274 | Melissa Kobayakawa | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-18 |
| 1952910325 | Ashley Mccormick | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-07-30 |
| 1891322863 | Elizabeth Mathew | Physical Therapist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-03-26 |
| 1548893456 | Dominique Lee | Student in an Organized Health Care Education/Training Program | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-02-19 |
| 1861035230 | Mikaela Jazmin Pecson Sampayan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-10-17 |
| 1598316820 | Ben Korthas | Radiology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-09-27 |
| 1033764808 | Rebecca Knight | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-08-07 |
| 1275187007 | Chelsea Tasaka | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992201685 | Cardiovascular Interventions of The Pacific, LLC | Internal Medicine | 321 N Kuakini St Ste 504, Honolulu, HI 96817-2361 | 2018-04-02 |
| 1437383213 | Giselle Baquero Caranama | Internal Medicine | 550 S Beretania St, Ste 702, Honolulu, HI 96813-2496 | 2009-05-08 |
| 1124264197 | Hawaii Cardiology LLC | Internal Medicine | 2226 Liliha St, Suite 302, Honolulu, HI 96817-1600 | 2008-12-22 |
| 1326234196 | Danelo R Canete Md Inc | Internal Medicine | 2228 Liliha St, Suite 305, Honolulu, HI 96817-1653 | 2007-09-14 |
| 1396898557 | John J Cogan Md Inc | Internal Medicine | 1329 Lusitana St Ste 707, Honolulu, HI 96813-2434 | 2007-01-19 |
| 1922109024 | Marie E. Nguyen | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-09-25 |
| 1477582468 | Lee Guertler | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2006-07-02 |
| 1700886033 | John J Cogan | Internal Medicine | 1329 Lusitana St, Suite 707, Honolulu, HI 96813-2429 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578702007 | Lawrence Derbes Md Inc. | Internal Medicine | 64-1032 Mamalahoa Hwy, Suite 201, Kamuela, HI 96743-8441 | 2009-02-05 |
| 1437376274 | Eckhart Diestel, Md P.l.l.c., P.a. | Internal Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2007-04-20 |
| 1417082744 | Dennis W Rowe | Internal Medicine | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-02-23 |
| 1588764351 | Joseph L. Gerry | Internal Medicine | 221 Mahalani Street, Wailuku, HI 96793-2526 | 2006-09-22 |
| 1629005434 | Colin D Lee | Internal Medicine | 221 Mahalani Street, Wailuku, HI 96793-2526 | 2006-06-27 |
| 1528049533 | Thomas Wisenbaugh | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center Cardiology Section, Tripler Amc, HI 96859-5001 | 2005-11-07 |
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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.