SAGE NAOMI BRODERSEN (NPI# 1407411192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407411192 |
| Entity Type | Individual |
| Full Name | SAGE NAOMI BRODERSEN |
| Credential | MSOM, L.AC |
| Practice Address |
2747 Waiomao Rd Honolulu HI 96816-3429 |
| Mailing Address |
2718 Waiomao Rd Honolulu HI 96816-3430 |
| Practice Telephone | 8089403345 |
| Mailing Telephone | 8089403345 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1222 | HI | Other Service Providers |
| Street Address |
2747 WAIOMAO RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1467009290 | Abigail Hobbs | Occupational Therapist | 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1043864630 | Brittni Holt | Speech-Language Pathologist | 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 | 2019-07-31 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428139 | Darko Vidak | Acupuncturist | 2375 Ala Wai Blvd, Honolulu, HI 96815-3448 | 2020-05-11 |
| 1871120857 | Deanna Rose Ahigian | Acupuncturist | 3634 Woodlawn Terrace Pl, Honolulu, HI 96822-1475 | 2020-03-27 |
| 1649802505 | Agnes Ohara | Acupuncturist | 1750 Kalakaua Ave Apt 808, Honolulu, HI 96826-3725 | 2020-02-09 |
| 1669014932 | Victor Jingxu Tan | Acupuncturist | 1005 14th Ave, Honolulu, HI 96816-3629 | 2019-10-08 |
| 1659913937 | Brandon Flewelling | Acupuncturist | 2525 S King St Ste 304, Honolulu, HI 96826-3154 | 2019-10-08 |
| 1750936282 | Jon Randolph Wilson | Acupuncturist | 3844b Keanu St, Honolulu, HI 96816-4263 | 2019-08-01 |
| 1780145474 | Jihyun Park | Acupuncturist | 1441 Kapiolani Blvd Ste 1810, Honolulu, HI 96814-4408 | 2019-03-26 |
| 1841755451 | Cimone Kamei | Acupuncturist | 2863 Kalakaua Ave, Honolulu, HI 96815-4016 | 2019-02-07 |
| 1639633993 | Elizabeth Maximin | Acupuncturist | 2534b Narcissus Pl, Honolulu, HI 96816-3532 | 2019-01-30 |
| 1144794173 | Anela Bird | Acupuncturist | 3265 Paty Dr, Honolulu, HI 96822-1449 | 2019-01-12 |
| 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.