DR. DOUGLAS WALTER SODERDAHL (NPI# 1992718993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992718993 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS WALTER SODERDAHL |
| Other Name | DR. DOUGLAS WALTER SODERDAHL |
| Credential | M.D. |
| Practice Address |
411 Hobron Lane #3808 Honolulu HI 96815-1220 |
| Practice Telephone | 8083887280 |
| Mailing Telephone | 8083887280 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 02754 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245217769 | Douglas Wayne Soderdahl | Urology | 3851 Roger Brooke Drive, Mche-qd, Fort Sam Houston, TX 78234-6200 | 2005-12-27 |
| Street Address |
411 HOBRON LANE #3808 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| 1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
| 1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
| 1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
| 1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
| Find all providers in zip 96815 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630726 | Andrew Jordan Sun | Urology | 1329 Lusitana St Ste 406, Honolulu, HI 96813-2412 | 2014-04-22 |
| 1750721171 | Thomas Yutaka Ito | Urology | 1850 Laukahi St, Honolulu, HI 96821-1361 | 2013-06-29 |
| 1235481185 | Island Urology Oahu LLC | Urology | 1329 Lusitana St Ste 602, Honolulu, HI 96813-2431 | 2012-10-02 |
| 1790085595 | Herbert Kw Chinn M D Inc | Urology | 1329 Lusitana St Ste 108, Honolulu, HI 96813-2401 | 2010-10-26 |
| 1437398583 | Charles Ock Kim Jr Md LLC | Urology | 707 Richards St Ste 517, Honolulu, HI 96813-4623 | 2009-02-12 |
| 1831358159 | Aloha Urology, Inc. | Urology | 4722 Aukai Ave, Honolulu, HI 96816-5207 | 2008-06-02 |
| 1093812091 | Kent K. Teruya | Urology | 1329 Lusitana St Ste 508, Honolulu, HI 96813-2412 | 2006-09-20 |
| 1336154038 | Pacific Urology Inc | Urology | 1525 Wilder Ave Apt 307, # 307, Honolulu, HI 96822-4684 | 2006-07-30 |
| 1073563979 | David Shu- An Chou | Urology | 1029 Kapahulu Ave, Suite 306, Honolulu, HI 96816-1332 | 2006-05-11 |
| 1508821794 | Robert G. Carlile | Urology | 1380 Lusitana St #1004, Honolulu, HI 96813-2461 | 2006-04-19 |
| Find all providers in HONOLULU | ||||
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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.