DR. JANE STEPHENS FYRBERG (NPI# 1053703645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053703645 |
| Entity Type | Individual |
| Full Name | DR. JANE STEPHENS FYRBERG |
| Credential | M.D. |
| Practice Address |
2459 Parker Place Honolulu HI 96822 |
| Practice Telephone | 8087413636 |
| Mailing Telephone | 8087413636 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02865 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
2459 PARKER PLACE |
| City | HONOLULU |
| State | HI |
| Zip Code | 96822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
| 1881152916 | Talaivosa Moala | Nurse's Aide | 1929-a Wilder Avenue, Honolulu, HI 96822 | 2019-03-07 |
| 1720505761 | Nalani Cook | Physical Therapist | 3577 Pinao Street, Unit 48, Honolulu, HI 96822 | 2017-08-29 |
| 1568986230 | Aaron Michael Neis | Student in an Organized Health Care Education/Training Program | 2444 Dole Street, Krauss Hall 23, Honolulu, HI 96822 | 2017-08-03 |
| 1568985448 | Tommie Mitsuko Yamamoto | Student in an Organized Health Care Education/Training Program | 2530 Dole Street, Sakamaki C 400, Honolulu, HI 96822 | 2017-07-21 |
| 1568997005 | Wade Yamasaki | Specialist/Technologist | 1337 Lower Campus Road, Honolulu, HI 96822 | 2017-04-21 |
| 1699123067 | Elyssa Nakanishi | Technician, Other | 1330 Wilder Ave Apt 319, Honolulu, HI 96822 | 2016-05-26 |
| 1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
| 1982081139 | Virginia Huntley | Physical Therapist | 3588a Woodlawn Drive, Honolulu, HI 96822 | 2015-04-27 |
| Find all providers in zip 96822 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657307 | Healing Tides Primary Care LLC | Family Medicine | 1110 Nuuanu Ave # A1-182, Honolulu, HI 96817-5119 | 2020-04-09 |
| 1669961322 | Micah David | Family Medicine | 1188 Bishop St Ste 802a, Honolulu, HI 96813-3303 | 2018-05-08 |
| 1023469632 | Anh Tan | Family Medicine | 1001 Queen St Ste 102, Honolulu, HI 96814-5243 | 2016-06-24 |
| 1730540659 | Mindy Chen | Family Medicine | 55 S Kukui St Ste C108, Honolulu, HI 96813-2328 | 2016-03-19 |
| 1770998726 | Fernando Liquido | Family Medicine | 7192 Kalanianaole Hwy Ste A200, Honolulu, HI 96825-1845 | 2014-06-29 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1609219112 | Emi Ota | Family Medicine | 2250 Kalakaua Ave Ste 407, Honolulu, HI 96815-2546 | 2013-04-15 |
| 1275878050 | Edward Lam | Family Medicine | 1188 Bishop St Ste 3208, Honolulu, HI 96813-3313 | 2012-12-04 |
| 1275893109 | Ilya Vladimir Yepishin | Family Medicine | 736 Hawaii St, Apt. A, Honolulu, HI 96817-7327 | 2012-05-25 |
| 1700151297 | Ronald Metler | Family Medicine | 1645 Ala Wai Blvd, 1305, Honolulu, HI 96815-1065 | 2012-03-15 |
| 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.