Ken Matsumoto (NPI# 1225187222, PAC ID# 2668516485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1225187222 |
| PAC ID by PECOS | 2668516485 |
| Professional Enrollment ID | I20100217000617 |
| Full Name | Ken Matsumoto |
| Organization Legal Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Address |
1700 Lanakila Ave Honolulu HI 96817-2115 |
| Phone Number | 8088325800 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5395648539 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 8088325800 | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Organization Legal Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shalini Mishra | Psychiatry | State of Hawaii Department of Health | 860 4th St, Suite 204, Pearl City, HI 96782-3312 |
| Harold L Goldberg | Psychiatry | State of Hawaii Department of Health | 4800 Kawaihau Rd, Samuel Mahelona Hospital, Kapaa, HI 96746-1964 |
| Leslie H Gise | Psychiatry | State of Hawaii Department of Health | 1830 Hooapiilani Hwy, Lahaina, HI 96761-1856 |
| J B Michael Sampsell | Psychiatry | State of Hawaii Department of Health | 4370 Kukui Grove St, Lihue, HI 96766-2003 |
| Thi Ngoc Tran | Psychiatry | State of Hawaii Department of Health | 1700 Lanakila Ave, Honolulu, HI 96817-2115 |
| Joshua J Ford | Clinical Psychologist | State of Hawaii Department of Health | 45 -691 Keaahala Rd, Kaneohe, HI 96744-3569 |
| Hawken Shields | Clinical Psychologist | State of Hawaii Department of Health | 3 Government Rd Bldg E, Pahoa, HI 96778 |
| Maria Rosario G Mabini | Psychiatry | State of Hawaii Department of Health | 3627 Kilauea Ave, Suite 410, Honolulu, HI 96816-2317 |
| Julie C Hayward | Clinical Social Worker | State of Hawaii Department of Health | 4800 Kawaihau Rd, Samuel Mahelona Hospital, Kapaa, HI 96746-1964 |
| Giavanna Lau | Psychiatry | State of Hawaii Department of Health | 1830 Hooapiilani Hwy, Lahaina, HI 96761-1856 |
| Street Address |
1700 LANAKILA AVE |
| City | HONOLULU |
| State | HI |
| Zip | 96817-2115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thi Ngoc Tran | Psychiatry | State of Hawaii Department of Health | 1700 Lanakila Ave, Honolulu, HI 96817-2115 |
| Claire T Rausch | Nurse Practitioner | State of Hawaii Department of Health | 1700 Lanakila Ave, Honolulu, HI 96817-2115 |
| 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 | PSYCHIATRY |
| City + Specialty | HONOLULU + PSYCHIATRY |
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| 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.