DR. COREY JONATHAN LUM (NPI# 1952668220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952668220 |
| Entity Type | Individual |
| Full Name | DR. COREY JONATHAN LUM |
| Credential | D.O. |
| Practice Address |
550 S Beretania St Ste 601 Honolulu HI 96813-2423 |
| Mailing Address |
550 S. Beretania Street, Suite 601 Honolulu HI 96813 |
| Practice Telephone | 8086918900 |
| Mailing Telephone | 8086918900 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DOS-1665 | HI | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
DOS-1665 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 819493 | 05 |
| Street Address |
550 S BERETANIA ST STE 601 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093790503 | Mark T Herrington | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2005-12-08 |
| 1942777388 | Kaitlyn Leary | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2018-10-24 |
| 1083108039 | Paula Marie Paulsen | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2018-06-21 |
| 1114457454 | Lianne Sadako Higa | Clinical Nurse Specialist | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2017-06-19 |
| 1164974127 | Kailie Wong | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2016-10-25 |
| 1205290756 | Marina Hitosugi-levesque | Internal Medicine | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2016-04-11 |
| 1134590508 | Amanda M L Wong | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2015-10-12 |
| 1689053308 | Lyndsey Rei Okamoto | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2015-05-27 |
| 1275943755 | Monica Yan Nei Cheung Katz | Family Medicine | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2014-05-06 |
| 1699193391 | Alan Kuo | Internal Medicine | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
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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.