WOUNDTECH OF HAWAII, INC (NPI# 1023517968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023517968 |
| Entity Type | Organization |
| Organization Name | WOUNDTECH OF HAWAII, INC |
| Practice Address |
120 Kaiulani Ave Ste 10-11 Honolulu HI 96815-6203 |
| Mailing Address |
200 S Park Rd Ste 200 Hollywood FL 33021-8541 |
| Practice Telephone | 9549237440 |
| Practice Fax Number | 9549231299 |
| Mailing Telephone | 9549237440 |
| Mailing Fax Number | 9549231299 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | JEFFREY L GALITZ (CEO/CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9549237440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD19541 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
120 KAIULANI AVE STE 10-11 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-6203 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1134540404 | Carolyn J. Mai | General Practice | 1522 Makaloa St, Suite 201, Honolulu, HI 96814-3255 | 2014-01-03 |
| 1316389828 | Robert Henry Nathanson | General Practice | 1520 Ward Ave, #602, Honolulu, HI 96822-3569 | 2013-07-25 |
| 1003156092 | Zhelah B Kayce | General Practice | 1009 Kapiolani Blvd, #4607, Honolulu, HI 96814-2112 | 2013-02-27 |
| 1366763567 | Samuel G Hawk | General Practice | 1345 S Beretania St Ste 101, Honolulu, HI 96814-1802 | 2010-06-22 |
| 1598992919 | Kimberly K Hooverson | General Practice | 1146 Fort Steeet Mall, Honolulu, HI 96813 | 2009-06-11 |
| 1982889028 | David Itsuo Miyauchi | General Practice | 970 Valley View Drive, Honolulu, HI 96819 | 2008-01-08 |
| 1154547768 | Keith Stephenson | General Practice | 2310 Kuhio Ave Ste 223, Honolulu, HI 96815-2950 | 2007-04-18 |
| 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.