GRAHAM M CORMACK, MD, LLC


Address: 1301 Punchbowl St, Honolulu, HI 96813
Phone: 8083432769

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
MD13938 HI Allopathic & Osteopathic Physicians

Office Location

Street Address 1301 PUNCHBOWL ST
City HONOLULU
State HI
Zip Code 96813

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City HONOLULU
Zip Code 96813

Improve Information

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Dataset Information

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.

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