Russell G Tacata (NPI# 1356341002, PAC ID# 2567485550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1356341002 |
| PAC ID by PECOS | 2567485550 |
| Professional Enrollment ID | I20060105000043 |
| Full Name | Russell G Tacata |
| Address |
1619 Liliha St Suite 3 Honolulu HI 96817-3152 |
| Phone Number | 8085315454 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1619 Liliha St, Suite 3, Honolulu, HI 96817-3152 | 8085315454 |
| Street Address |
1619 LILIHA ST SUITE 3 |
| City | HONOLULU |
| State | HI |
| Zip | 96817-3152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig B Chun | Anesthesiology | 3849 Old Pali Rd, Honolulu, HI 96817-1070 | |
| Lynette M Labasan | Psychologist, Clinical | 2519 Huene St, Honolulu, HI 96817-1304 | |
| Maurice W Nicholson | Neurosurgery | 2226 Liliha St, Honolulu, HI 96817-1600 | |
| Ankur Jain | Gastroenterology | 2226 Liliha St, Suite 405, Honolulu, HI 96817-1605 | |
| Christina K Speirs | Radiation Oncology | Cancer Center of Hawaii, LLC | 2226 Liliha St, B2, Honolulu, HI 96817-1605 |
| Franz H H Yuen | Physical Therapy | 2226 Liliha St, Suite 404, Honolulu, HI 96817-1605 | |
| Ma Clarisse T Santos | Nephrology | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1605 | |
| Carlson B Wong | Gastroenterology | 2226 Liliha St, Suite 303, Honolulu, HI 96817-1605 | |
| Jennifer S Ito | Internal Medicine | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1605 | |
| Kalani T Yamamoto | Nephrology | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1605 | |
| Find all physicians in zip 96817 | |||
| City | HONOLULU |
| Zip Code | 96817 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HONOLULU + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Russell G Tacata.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.