DAMIEN TAVARES MD, LLC (NPI# 1598106247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598106247 |
| Entity Type | Organization |
| Organization Name | DAMIEN TAVARES MD, LLC |
| Other Organization Name | HAWAII PAIN CENTER |
| Practice Address |
2226 Liliha St Suite 407 Honolulu HI 96817-1600 |
| Practice Telephone | 8084459172 |
| Practice Fax Number | 8084459182 |
| Mailing Telephone | 8084459172 |
| Mailing Fax Number | 8084459182 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2016-03-05 |
| Authorized Official Name | DR. DAMIEN KEKANEINOA TAVARES III (SOLE MEMBER) |
| Authorized Official Telephone | 8084459172 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
MD15987 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hawaii Pain Center | Doing Business As Name - Organization |
| Street Address |
2226 LILIHA ST SUITE 407 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568416 | David A Naai | Specialist | 2226 Liliha St, Ste 306, Honolulu, HI 96817-1605 | 2005-06-16 |
| 1588208912 | Alan L Villegas | Behavior Technician | 2226 Liliha St, Honolulu, HI 96817-1600 | 2019-10-29 |
| 1588170278 | Jamie Michelle West | Behavior Technician | 2226 Liliha St, Honolulu, HI 96817-1600 | 2017-12-18 |
| 1083073886 | Hawaii Nephrologists LLC | Internal Medicine | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2016-02-22 |
| 1639551146 | Ma. Clarisse Toledo-santos LLC | Internal Medicine | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1600 | 2015-06-19 |
| 1801291562 | Lee Hoang | Physical Therapist | 2226 Liliha St, Honolulu, HI 96817-1600 | 2014-10-23 |
| 1104246446 | Pacific Endoscopy Center LLC | Clinic/Center | 2226 Liliha St, Ste. 307, Honolulu, HI 96817-1600 | 2014-04-25 |
| 1326464694 | Franz Yuen Physical Therapy LLC | Physical Therapist | 2226 Liliha St, Suite 404, Honolulu, HI 96817-1600 | 2014-03-11 |
| 1689019176 | Glenn M. L. Pang, Md, Inc | Non-Pharmacy Dispensing Site | 2226 Liliha St, Suite 405, Honolulu, HI 96817-1600 | 2013-05-09 |
| 1477819654 | Jennifer M. Lee Fnp, LLC | Clinic/Center | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1600 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069831 | Dr. Madison Bell Dc Professional Corporation | Clinic/Center | 6700 Kalanianaole Hwy Ste 207, Honolulu, HI 96825-1279 | 2019-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174756662 | Aloha Pain Clinic, LLC | Clinic/Center | 68-1845 Waikoloa Rd Ste 216, Waikoloa, HI 96738-5584 | 2009-08-31 |
| 1235758368 | Daniel S Choi Md Professional Corporation | Clinic/Center | 3176 Poipu Rd, Koloa, HI 96756-9521 | 2020-04-09 |
| 1467000323 | Hilo Back and Neck Pain Center | Clinic/Center | 118 Ponahawai St, Hilo, HI 96720-3004 | 2019-09-03 |
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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.