DR. CLARENCE DEAN HARKNESS (NPI# 1508917022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508917022 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE DEAN HARKNESS |
| Credential | DPM |
| Practice Address |
73 Puuhonu Pl Rm 105 Hilo HI 96720-2060 |
| Mailing Address |
Rr 3 Box 1350 Pahoa HI 96778-7521 |
| Practice Telephone | 8089615700 |
| Practice Fax Number | 8089615799 |
| Mailing Telephone | 8089615700 |
| Mailing Fax Number | 8089615799 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO170 | HI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 56938701 | 05 | |
| HI | HMSA | 0000252197 | 01 |
| Street Address |
73 PUUHONU PL RM 105 |
| City | HILO |
| State | HI |
| Zip Code | 96720-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437294667 | Rand D Mundo | Podiatrist | 1028 Kinoole St Ste 104, Hilo, HI 96720-3800 | 2007-02-21 |
| 1053582429 | Imua Kauai Footcare | Podiatrist | 1028 Kinoole St Ste 104, Hilo, HI 96720-3800 | 2008-03-13 |
| 1063516227 | Brian T. Sugai | Podiatrist | 101 Aupuni St, Ste 238, Hilo, HI 96720-4261 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114457306 | Kenson T Miyaki | Podiatrist | 1149 Ala Lilikoi Pl, Honolulu, HI 96818-2310 | 2017-06-19 |
| 1275920787 | Podiatry Hawaii LLC | Podiatrist | 615 Piikoi St Ste 1401, Honolulu, HI 96814-3189 | 2015-04-22 |
| 1861802688 | Nathan S Higa Dpm LLC | Podiatrist | 98-1079 Moanalua Rd Ste 400, Aiea, HI 96701-4715 | 2014-05-01 |
| 1407951817 | Michael Keith Lee | Podiatrist | 1541 S Beretania St, #205, Honolulu, HI 96826-1147 | 2006-09-13 |
| 1255351730 | Nathalie E Sowers | Podiatrist | 932 Ward Ave, Suite 400, Honolulu, HI 96814-2131 | 2006-07-20 |
| 1235164062 | Susan S Hiraoka | Podiatrist | 642 Ulukahiki St Ste 207, Kailua, HI 96734-4439 | 2006-07-11 |
| 1386614220 | Dennis John Foote | Podiatrist | Usahc Schofield Barracks, Podiatry Clinic, Schofield Barracks, HI 96857 | 2006-01-24 |
| 1053390492 | Ricky T Sukita | Podiatrist | 405 N. Kuakini St., Suite 1010, Honolulu, HI 96817-6301 | 2006-01-13 |
| 1033113071 | Douglas K Birch | Podiatrist | 415 Dairy Rd, Ste D, Kahului, HI 96732-2348 | 2005-06-08 |
| 1407228695 | Dr. Brigette F Kuhn Inc | Podiatrist | 1441 Kapiolani Blvd, Suite 1111, Honolulu, HI 96814-4402 | 2015-10-27 |
| 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.