DR. DIANE NAGASAKA (NPI# 1144256603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144256603 |
| Entity Type | Individual |
| Full Name | DR. DIANE NAGASAKA |
| Credential | M..D. |
| Practice Address |
2180 Main St Wailuku HI 96793-1625 |
| Practice Telephone | 8082426464 |
| Practice Fax Number | 8082424209 |
| Mailing Telephone | 8082426464 |
| Mailing Fax Number | 8082424209 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2010-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD5239 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMA - HMAA - | 990176859 | 01 |
| HI | 02053601 | 05 | |
| HI | 02053602 | 05 | |
| HI | HMSA | 022699 | 01 |
| HI | 02053603 | 05 | |
| HI | 65 C PLUS - HMSA | 022699 | 01 |
| HI | TRICARE - CHAMPUS | 99017685996793B065 | 01 |
| HI | QUEST ALOHA CARE | 02053601 | 01 |
| Street Address |
2180 MAIN ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578827 | Judy L Schmidt | Internal Medicine | 2180 Main St, Wailuku, HI 96793-1625 | 2005-06-15 |
| 1710502331 | Jalin K.a. Finai | Audiologist | 2180 Main St, Wailuku, HI 96793-1625 | 2020-06-09 |
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1902440365 | Natasha Victoria Murray | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2019-10-29 |
| 1740831445 | Maria Castellanos | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-09-24 |
| 1770143026 | Tamsyn Kellough | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-06-19 |
| 1851863419 | Emily Newman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-12-20 |
| 1083100986 | Rebeka Lyn Coleman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-07-03 |
| 1700383155 | Shawna Wiley | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793 | 2018-04-11 |
| 1821516618 | Tanya Takatani-apo | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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 |
|---|---|---|---|---|
| 1730488909 | Rennia Cabal-amisola | Family Medicine | 75 Maui Lani Pkwy, Wailuku, HI 96793-2463 | 2011-03-27 |
| 1497874705 | Chris A Boulange | Family Medicine | 53 A North Market St., Wailuku, HI 96793-2155 | 2007-03-28 |
| 1316930548 | Errol T Buntuyan | Family Medicine | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2005-08-23 |
| 1679868855 | Marcelino Yera-paez | Family Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2011-06-15 |
| 1598057200 | Anna Sokolowski | Family Medicine | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2011-05-12 |
| 1548577836 | Rodney George Bjordahl | Family Medicine | 221 Mahalani St, Wailuku, HI 96793 | 2010-09-08 |
| 1144485947 | Robin Renee Hallman | Family Medicine | 30 N Church St, Suite 100, Wailuku, HI 96793-1600 | 2008-07-22 |
| 1184828964 | Louella M Regis | Family Medicine | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2007-06-13 |
| 1548316482 | Melinda L Au | Family Medicine | 2180 Main St, Wailuku, HI 96793-1625 | 2007-01-25 |
| 1295881332 | Gabrielle A O'sullivan | Family Medicine | 1881 Nani Street, Wailuku, HI 96793 | 2007-01-25 |
| Find all providers in WAILUKU | ||||
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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.