GRAHAM M CORMACK, MD, LLC (NPI# 1962804567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962804567 |
Entity Type | Organization |
Organization Name | GRAHAM M CORMACK, MD, LLC |
Practice Address |
1301 Punchbowl St Honolulu HI 96813 |
Mailing Address |
Po Box 26418 Honolulu HI 96825 |
Practice Telephone | 8083432769 |
Practice Fax Number | 8665944786 |
Mailing Telephone | 8083432769 |
Mailing Fax Number | 8665944786 |
Enumeration Date | 2014-09-25 |
Last Update Date | 2014-09-25 |
Authorized Official Name | GRAHAM MICHAEL CORMACK (PHYSICIAN) |
Authorized Official Telephone | 8083432769 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD13938 | HI | Allopathic & Osteopathic Physicians |
Street Address |
1301 PUNCHBOWL ST |
City | HONOLULU |
State | HI |
Zip Code | 96813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184612764 | The Queen's Medical Center | Psychiatric Unit | 1301 Punchbowl St, Honolulu, HI 96813 | 2005-10-07 |
1104426774 | Dana Monday | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-10-31 |
1104438654 | Jennifer Nguyen Lam | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-08-17 |
1497371470 | Maria Pimenova | Pathology | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-06-24 |
1972125235 | Scott Shokichi Amuro | Respiratory Therapist, Registered | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-05-09 |
1407485196 | Marvik Vasquez Fernandez | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-04-04 |
1851927198 | Tundra Nicole Weaver | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-03-18 |
1407487671 | Ashley Nicole Aquino Catapang | Physician Assistant | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-01-28 |
1750929253 | Cheryl Ann Afuso-sumimoto | Clinical Nurse Specialist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-12-15 |
1770126658 | Ann Frost | Physical Therapist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-10-23 |
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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 |
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Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1417918798 | Russell Charles Gilbert | Internal Medicine | 1301 Punchbowl Street, Honolulu, HI 96813-2499 | 2006-03-28 |
1720061625 | Benjamin Worth Berg | Internal Medicine | 651 Ilalo St, Telehealth Research, Honolulu, HI 96813-5525 | 2005-11-23 |
1821408873 | Timothy John Kenealy Vossler | Internal Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2014-04-30 |
1215355680 | Colin Louis Doyle | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2014-04-02 |
1003159211 | Nishal Brahmbhatt | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2013-04-05 |
1649512724 | Stephanie C Guo | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2013-03-26 |
1184982290 | Brent Kei Tatsuno | Internal Medicine | 1329 Lusitana St Ste 107, Honolulu, HI 96813-2401 | 2012-04-26 |
1689930497 | Karthik R Kode | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2012-04-05 |
1174847842 | Jordan Lee | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2010-03-24 |
1043353709 | Lillian A Umbarger | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-02-14 |
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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.