DR. JOHNNIE A. YATES (NPI# 1083796197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083796197 |
| Entity Type | Individual |
| Full Name | DR. JOHNNIE A. YATES |
| Credential | MD |
| Practice Address |
1010 Pensacola St Honolulu HI 96814-2118 |
| Practice Telephone | 8084322000 |
| Mailing Telephone | 8084322000 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD-11445 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BILLING NUMBER | 0000232066 | 01 |
| HI | 505943-02 | 05 |
| Street Address |
1010 PENSACOLA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818030 | Elizabeth G Quinn | Internal Medicine | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2005-08-10 |
| 1942606397 | Kyle Kamegawa | Physical Therapist | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2014-11-12 |
| 1346585700 | Charina Toilolo | Physician Assistant | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2012-12-11 |
| 1265793913 | Carol Gia Pham | Internal Medicine | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2012-05-30 |
| 1467712356 | Annie R Wang | Dermatology | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2012-05-24 |
| 1396003976 | Kara Crosson | Occupational Therapist | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2012-05-02 |
| 1609162833 | Steven Kenneth Kawika Kramer | Family Medicine | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2011-06-27 |
| 1659692523 | Chantelle F L S Nakata | Audiologist | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2010-06-15 |
| 1508090549 | Teresa Michele Walsh | Obstetrics & Gynecology | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2009-05-05 |
| 1619117900 | Ross T. Yamanaka | Physical Therapy Assistant | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2009-02-25 |
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|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
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| 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. |
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|---|---|---|---|---|
| 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 |
| 1053703645 | Jane Stephens Fyrberg | Family Medicine | 2459 Parker Place, Honolulu, HI 96822 | 2015-02-19 |
| 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 |
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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.