BYRON CARRASCO DPM LLC (NPI# 1437661238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437661238 |
Entity Type | Organization |
Organization Name | BYRON CARRASCO DPM LLC |
Practice Address |
94-216 Farrington Hwy Ste A102 Waipahu HI 96797-1922 |
Mailing Address |
46-036 Kamehameha Hwy #1099 Kaneohe HI 96744-9998 |
Practice Telephone | 8083668167 |
Practice Fax Number | 8084653204 |
Mailing Telephone | 8083668167 |
Mailing Fax Number | 8443803612 |
Enumeration Date | 2017-11-02 |
Last Update Date | 2020-04-24 |
Authorized Official Name | BYRON R CARRASCO (MANAGER) |
Authorized Official Telephone | 8083668167 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P0-218 | HI | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
94-216 Farrington Hwy, Waipahu, HI 967971922 | 8085364335 | 8085379195 |
94-216 Farrington Hwy Ste A103, Waipahu, HI 967971922 | 8083668167 | 8084653204 |
Street Address |
94-216 FARRINGTON HWY STE A102 |
City | WAIPAHU |
State | HI |
Zip Code | 96797-1922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
Find all providers in zip 96797 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942689542 | Kari M Tanimoto | Podiatrist | 405 N. Kaukim St., Suite 1010, Honolulu, HI 96817-6301 | 2015-05-28 |
1134480965 | Suhair Afif Shahwan | Podiatrist | 1329 Lusitana St Ste 802, Honolulu, HI 96813-2434 | 2012-06-07 |
1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
1306032180 | Gary B. Pitt Dpm Inc | Podiatrist | 59-229 Alapio Rd, Haleiwa, HI 96712-9604 | 2007-09-14 |
1861536021 | Barron D. Elleby | Podiatrist | 415 Dairy Rd Ste D, Kahului, HI 96732-2348 | 2007-02-19 |
1720137573 | Christopher Ken Teramura | Podiatrist | 40 Aulike St Ste 414, Kailua, HI 96734-2757 | 2007-01-10 |
1992805923 | Gary Byron Pitt | Podiatrist | 59-229 Alapio Road, Haleiwa, HI 96712-9604 | 2006-09-22 |
1922622588 | Island Foot and Ankle Specialists LLC | Podiatrist | 415 Dairy Rd Ste D, Kahului, HI 96732-2348 | 2020-05-29 |
1740641513 | Hawaii Foot and Ankle Surgical Specialists, LLC | Podiatrist | 1028 Kinoole St, Suite 104, Hilo, HI 96720-3800 | 2016-03-08 |
1235549056 | Hawaii Podiatry Inc | Podiatrist | 1245 Kuala St, Suite 102a, Pearl City, HI 96782-3900 | 2014-05-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BYRON CARRASCO DPM LLC.
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.