DR. WALLACE J MATTHEWS JR. (NPI# 1619078615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619078615 |
| Entity Type | Individual |
| Full Name | DR. WALLACE J MATTHEWS JR. |
| Credential | M.D. |
| Practice Address |
1350 S King St Suite 300 Honolulu HI 96814-2009 |
| Practice Telephone | 8085939944 |
| Practice Fax Number | 8085930565 |
| Mailing Telephone | 8085939944 |
| Mailing Fax Number | 8085930565 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208000000X | Pediatrics | MD4255 | HI | Allopathic & Osteopathic Physicians |
| X | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
MD4255 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA | 04481 | 01 |
| HI | QHCP | MD4255-01 | 01 |
| HI | QALC | 00519101 | 01 |
| HI | QHMS | 0000004481 | 01 |
| HI | HMAI | 192509 | 01 |
| HI | 00519101 | 05 | |
| HI | HMSA | J4489 | 01 |
| Street Address |
1350 S KING ST SUITE 300 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588763023 | Diane Baker | Registered Nurse | 1350 S King St, Suite 309 Planned Parenthood of Hawaii, Honolulu, HI 96814 | 2006-09-21 |
| 1194260026 | Sierra Terlaje | Physical Therapy Assistant | 1350 S King St, Unit 300, Honolulu, HI 96814-2009 | 2017-01-02 |
| 1043560089 | Hawaii Counseling and Wellness Center LLC | Psychologist | 1350 S King St, Suite 230, Honolulu, HI 96814-2009 | 2012-09-18 |
| 1669737169 | Planned Parenthood of Hawaii | Obstetrics & Gynecology | 1350 S King St, 307, Honolulu, HI 96814-2009 | 2012-07-10 |
| 1740544295 | Planned Parenthood of Hawaii | Obstetrics & Gynecology | 1350 S King St, 309, Honolulu, HI 96814-2009 | 2012-06-29 |
| 1821367137 | State of Hawaii, Department of Health, Early Intervention Section | Early Intervention Provider Agency | 1350 S King St, Honolulu, HI 96814-2009 | 2011-12-16 |
| 1396030110 | David K Woodward | Physical Therapist | 1350 S King St, Suite 303, Honolulu, HI 96814-2009 | 2011-06-09 |
| 1346425337 | Romy T Nochi | Nurse Practitioner | 1350 S King St, Suite 309, Honolulu, HI 96814-2009 | 2008-01-08 |
| 1649483140 | Gail Y. Oshiro | Psychologist | 1350 S King St, Suite 200, Honolulu, HI 96814-2009 | 2007-05-08 |
| 1225181332 | Olaf Knut Gitter | Psychologist | 1350 S King St, Suite 325, Honolulu, HI 96814-2009 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959050 | We Prescribe Inc | Pediatrics | 1110 Nuuanu Ave Ste A1-298, Honolulu, HI 96817-5119 | 2020-07-20 |
| 1598382772 | Barbora Kadecka | Pediatrics | 1319 Punahou Street #741, Pediatric Residency Program, Honolulu, HI 96826 | 2020-07-02 |
| 1720605504 | Keanuenue Pediatrics, LLC | Pediatrics | 3465 Waialae Ave Ste 270, Honolulu, HI 96816-2686 | 2020-06-29 |
| 1013571546 | Jenny Liu | Pediatrics | 1319 Punahou St Ste 741, Honolulu, HI 96826-1001 | 2019-04-30 |
| 1992232037 | Harold Nilsson, M.d., LLC | Pediatrics | 1441 Kapiolani Blvd Ste 825, Honolulu, HI 96814-4457 | 2017-05-19 |
| 1386994697 | Brian Alexander O'hara | Pediatrics | 6750 Hawaii Kai Drive #1208, Honolulu, HI 96825 | 2012-09-13 |
| 1346502358 | Kit Shan Lee | Pediatrics | 1319 Punahou St Ste 1150, Honolulu, HI 96826-1001 | 2012-06-14 |
| 1700159712 | Joseph S.t. Young | Pediatrics | 2133 Mott Smith Dr, Honolulu, HI 96822 | 2012-02-22 |
| 1881981967 | Joanna Marie Russell | Pediatrics | 1925 Kalakaua Ave Apt 2207, Honolulu, HI 96815-1889 | 2011-07-08 |
| 1710207584 | Cherise Stephanie-lee Saito | Pediatrics | 4211 Waialae Ave Ste 205, Honolulu, HI 96816-5312 | 2010-06-03 |
| 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.