BRANDEE S BLACK (NPI# 1477864429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477864429 |
| Entity Type | Individual |
| Full Name | BRANDEE S BLACK |
| Credential | M.D. |
| Practice Address |
30 Aulike St Ste 201 Kailua HI 96734-2750 |
| Practice Telephone | 5059334424 |
| Mailing Telephone | 8082614658 |
| Mailing Fax Number | 8082632036 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
DR.0060743 | CO | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
19841 | HI | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD2015-0520 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
30 AULIKE ST STE 201 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337896 | Jessica Lee Dilenschneider | Physician Assistant | 30 Aulike St Ste 201, Kailua, HI 96734 | 2016-10-24 |
| 1508127838 | Devin Selva Ganesh | Orthopaedic Surgery | 30 Aulike St Ste 201, Kailua, HI 96734-2750 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346660008 | Jae You | Orthopaedic Surgery | 888 S King St # 3, Honolulu, HI 96813-3097 | 2014-04-21 |
| 1982795118 | Charles Anthony Soma | Orthopaedic Surgery | 1827 Wells St, Wailuku, HI 96793-2370 | 2006-09-26 |
| 1750629424 | Darren K Egami Md, LLC | Orthopaedic Surgery | 99 S Market St, Suite 204, Wailuku, HI 96793-2200 | 2013-01-30 |
| 1790030161 | Elizabeth M. Ignacio, M.d., LLC | Orthopaedic Surgery | 1329 Lusitana St, Ste 801, Honolulu, HI 96813-2429 | 2012-07-20 |
| 1235491986 | Gutteling Enterprises | Orthopaedic Surgery | 45 Mohouli St, Suite 102, Hilo, HI 96720-7210 | 2012-06-08 |
| 1558527408 | Kyle Frederick Chun | Orthopaedic Surgery | 1401 S Beretania St, 750, Honolulu, HI 96814-1870 | 2008-07-31 |
| 1396915690 | Carlos Miguel Sandoval | Orthopaedic Surgery | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2008-03-03 |
| 1477746154 | Burt E Moritz Iv | Orthopaedic Surgery | 3288 Moanalua Rd, 3rd Floor, Orthopaedics, Honolulu, HI 96819-1469 | 2007-08-24 |
| 1386783975 | Peter Elliott Diamond | Orthopaedic Surgery | 932 Ward Ave, Suite 460, Honolulu, HI 96814-2131 | 2007-02-06 |
| 1063524007 | Darryl M Kan | Orthopaedic Surgery | 1380 Lusitana St, Suite 608, Honolulu, HI 96813-2421 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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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.