DR. ELIZABETH U BLALOCK (NPI# 1154502896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154502896 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH U BLALOCK |
| Credential | MD |
| Practice Address |
2465 Ala Wai Blvd Apt 804 Honolulu HI 96815-3455 |
| Mailing Address |
2465 Ala Wai Blvd Apt 804 Honolulu HI 96815-3432 |
| Practice Telephone | 8089236132 |
| Practice Fax Number | 8089569894 |
| Mailing Telephone | 8089236132 |
| Mailing Fax Number | 8089569894 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2007-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
14007 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982641114 | Elizabeth S Blalock | Social Worker | 6809 Fairview Rd, Charlotte, NC 28210-3336 | 2006-05-31 |
| Street Address |
2465 ALA WAI BLVD APT 804 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-3455 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407017973 | Victoria San San Wong | Psychiatry & Neurology | 550 S Beretania St Ste 405, Honolulu, HI 96813-2496 | 2008-06-18 |
| 1073556650 | Jordan S Popper | Psychiatry & Neurology | 320 Ward Ave Ste 101, Honolulu, HI 96814-4016 | 2006-06-13 |
| 1750359709 | Jeffrey Earl Liu | Psychiatry & Neurology | 1380 Lusitana St., Suite 705, Honolulu, HI 96813-2443 | 2006-03-08 |
| 1477523785 | Michael B Russo | Psychiatry & Neurology | 250 Ward Ave Ste 170, Honolulu, HI 96814-4014 | 2006-01-26 |
| 1245690817 | Douglas Valenta Neurology | Psychiatry & Neurology | 438 Hobron Lane, 408, Honolulu, HI 96815 | 2016-02-25 |
| 1699041525 | Rony Salem | Psychiatry & Neurology | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2012-03-26 |
| 1558598615 | Neurological Services of Hawaii Inc | Psychiatry & Neurology | 1296 Kapiolani Blvd, 4607, Honolulu, HI 96814-2896 | 2009-06-16 |
| 1265693055 | Brandon K. Hirota | Psychiatry & Neurology | 321 N Kuakini St, Suite 810, Honolulu, HI 96817-2364 | 2008-06-24 |
| 1962672220 | James F Pierce Md Inc | Psychiatry & Neurology | 1380 Lusitana St, Suite 705, Honolulu, HI 96813-2449 | 2008-03-03 |
| 1346360302 | Sharin Y S Burton | Psychiatry & Neurology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-03-30 |
| 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.