DR. STEPHEN N WALL (NPI# 1801950613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801950613 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN N WALL |
| Credential | MD |
| Practice Address |
3288 Moanalua Rd Honolulu HI 96819-1469 |
| Practice Telephone | 8084320000 |
| Mailing Telephone | 8084320000 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD-9289 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 493784-01 | 05 | |
| HI | HMSA BILLING NUMBER | 0000239053 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801250105 | Stephen Wall | Student in an Organized Health Care Education/Training Program | 525 E Market St, Summa Health System/pathology Residency, Akron, OH 44304-1619 | 2016-04-12 |
| 1033503388 | Stephen Lee Wall | Internal Medicine | 4860 Y St Ste 200, Sacramento, CA 95817-2307 | 2015-03-25 |
| 1740345719 | Stephen Wall | Emergency Medicine | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2006-12-27 |
| 1861405706 | Stephen Joseph Wall | Otolaryngology | 3 Washington Cir Nw, Suite 401, Washington, DC 20037-2356 | 2006-08-14 |
| 1467454462 | Stephen Jay Wall | Pediatrics | 15 Facility Dr, Clyde, NC 28721-9438 | 2005-08-10 |
| Street Address |
3288 MOANALUA RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556124 | Richard Edward Shields | Pharmacist | 3288 Moanalua Rd, Kaiser Permanente Hawaii, Honolulu, HI 96819 | 2005-05-24 |
| 1629681838 | Beatrice Xiaoying Huang | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-26 |
| 1962014274 | Melissa Kobayakawa | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-18 |
| 1952910325 | Ashley Mccormick | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-07-30 |
| 1891322863 | Elizabeth Mathew | Physical Therapist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-03-26 |
| 1548893456 | Dominique Lee | Student in an Organized Health Care Education/Training Program | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-02-19 |
| 1861035230 | Mikaela Jazmin Pecson Sampayan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-10-17 |
| 1598316820 | Ben Korthas | Radiology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-09-27 |
| 1033764808 | Rebecca Knight | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-08-07 |
| 1275187007 | Chelsea Tasaka | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1740387273 | Venkataraman Balaraman | Pediatrics | 1319 Punahou St Rm 750, Honolulu, HI 96826-1001 | 2006-09-19 |
| 1255568440 | Kara Noelani Wong Ramsey | Pediatrics | 1319 Punahou St Fl 7, Honolulu, HI 96826-1001 | 2009-06-16 |
| 1265672471 | Emmanuel Ramirez Enriquez Kling | Pediatrics | 1 Jarrett White Road Tripler Army Medical Center, Neonatal Intensive Care Unit, Honolulu, HI 96859-5000 | 2009-02-27 |
| 1972760908 | Lois Dang Chiu | Pediatrics | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2008-05-19 |
| 1548437957 | Milette Balbin Oliveros | Pediatrics | 1319 Punahou St, Nicu, Honolulu, HI 96826-1001 | 2008-05-14 |
| 1558543868 | Prakash Muttanna Kabbur | Pediatrics | 1319 Punahou St, Neonatology, Honolulu, HI 96826-1001 | 2007-11-28 |
| 1528278074 | Eleane Marie Beadle | Pediatrics | 1 Jarrett White Rd, Tripler Army Medical Center, Honolulu, HI 96859-5001 | 2007-05-23 |
| 1588874481 | Joan Ceccarelli Meister | Pediatrics | 1319 Punahou St, Honolulu, HI 96826-1001 | 2007-05-22 |
| 1568687267 | David Easa | Pediatrics | 1319 Punahou Street, Honolulu, HI 96826 | 2007-04-16 |
| 1902943269 | Tiong Tjoeng | Pediatrics | 1319 Punahou St, Honolulu, HI 96826-1001 | 2007-01-30 |
| 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.