DR. CHARLES ANTHONY SOMA (NPI# 1982795118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982795118 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ANTHONY SOMA |
| Credential | M.D. |
| Practice Address |
1827 Wells St Wailuku HI 96793-2370 |
| Practice Telephone | 8082420001 |
| Practice Fax Number | 8082446746 |
| Mailing Telephone | 8082420001 |
| Mailing Fax Number | 8082446746 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
20-2598134 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA | 00D0016016 | 01 |
| HI | HMAA | 202598134 | 01 |
| HI | HMSA | 0000016014 | 01 |
| HI | UHA | 5566654 | 01 |
| HI | 01494804 | 05 | |
| HI | HMA | 192409 | 01 |
| HI | AETNA | 4558165 | 01 |
| Street Address |
1827 WELLS ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386296754 | North Shore Orthopedics | Orthopaedic Surgery | 1827 Wells St, Wailuku, HI 96793-2370 | 2019-07-15 |
| 1740716240 | Heather Boldt | Massage Therapist | 1827 Wells St, Wailuku, HI 96793-2370 | 2017-05-04 |
| 1700325149 | David John Moats | Acupuncturist | 1827 Wells St, Wailuku, HI 96793-2370 | 2017-02-17 |
| 1912304783 | Cierra Crowe | Speech-Language Pathologist | 1827 Wells St, Wailuku, HI 96793-2370 | 2014-11-22 |
| 1699957894 | Tanya Dawn Hudson | Occupational Therapist | 1827 Wells St, Wailuku, HI 96793 | 2007-11-29 |
| 1659571461 | North Shore Orthopedics Inc | Physical Therapist | 1827 Wells St, Wailuku, HI 96793-2370 | 2007-07-19 |
| 1902938384 | Steve E Clark Md Thelma M Yamada Md LLC | Specialist | 1827 Wells St, Wailuku, HI 96793-2370 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750629424 | Darren K Egami Md, LLC | Orthopaedic Surgery | 99 S Market St, Suite 204, Wailuku, HI 96793-2200 | 2013-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346660008 | Jae You | Orthopaedic Surgery | 888 S King St # 3, Honolulu, HI 96813-3097 | 2014-04-21 |
| 1477864429 | Brandee S Black | Orthopaedic Surgery | 30 Aulike St Ste 201, Kailua, HI 96734-2750 | 2010-06-24 |
| 1790030161 | Elizabeth M. Ignacio, M.d., LLC | Orthopaedic Surgery | 1329 Lusitana St, Ste 801, Honolulu, HI 96813-2429 | 2012-07-20 |
| 1235491986 | Gutteling Enterprises | Orthopaedic Surgery | 45 Mohouli St, Suite 102, Hilo, HI 96720-7210 | 2012-06-08 |
| 1558527408 | Kyle Frederick Chun | Orthopaedic Surgery | 1401 S Beretania St, 750, Honolulu, HI 96814-1870 | 2008-07-31 |
| 1396915690 | Carlos Miguel Sandoval | Orthopaedic Surgery | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2008-03-03 |
| 1477746154 | Burt E Moritz Iv | Orthopaedic Surgery | 3288 Moanalua Rd, 3rd Floor, Orthopaedics, Honolulu, HI 96819-1469 | 2007-08-24 |
| 1386783975 | Peter Elliott Diamond | Orthopaedic Surgery | 932 Ward Ave, Suite 460, Honolulu, HI 96814-2131 | 2007-02-06 |
| 1063524007 | Darryl M Kan | Orthopaedic Surgery | 1380 Lusitana St, Suite 608, Honolulu, HI 96813-2421 | 2006-08-31 |
| 1407968365 | Jay M Marumoto | Orthopaedic Surgery | 1401 S Beretania St, Suite 750, Honolulu, HI 96814-1870 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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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.