Theresa B Wade (NPI# 1063497758, PAC ID# 7012215643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063497758 |
| PAC ID by PECOS | 7012215643 |
| Professional Enrollment ID | I20160415000924 |
| Full Name | Theresa B Wade |
| Organization Legal Name | CARE HAWAII, INC. |
| Address |
606 Coral St Suite 1 Honolulu HI 96813-5135 |
| Phone Number | 8087916159 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789726415 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090006 | PROVIDENCE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 606 Coral St, Suite 1, Honolulu, HI 96813-5135 | 8087916159 | CARE HAWAII, INC. |
| 606 Coral St, Honolulu, HI 96813-5135 | 8087916159 | CARE HAWAII, INC. |
| Organization Legal Name | CARE HAWAII, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Amanda Hammel | Nurse Practitioner | Care Hawaii, Inc. | 606 Coral St, Honolulu, HI 96813-5135 |
| Michael J Palazzo | Nurse Practitioner | Care Hawaii, Inc. | 891 Ululani St, Hilo, HI 96720-3982 |
| Joseph R Giannasio | Psychiatry | Care Hawaii, Inc. | 875 Waimanu St, Honolulu, HI 96813-5267 |
| Sondra L Leiggi Brandon | Nurse Practitioner | Care Hawaii, Inc. | 875 Waimanu St, Honolulu, HI 96813-5267 |
| Nidhi A Chabora | Certified Clinical Nurse Specialist (cns) | Care Hawaii, Inc. | 875 Waimanu St, Honolulu, HI 96813-5267 |
| Beth G Ananda-stout | Nurse Practitioner | Care Hawaii, Inc. | 875 Waimanu St, Honolulu, HI 96813-5267 |
| Gregory A Prier | Psychiatry | Care Hawaii, Inc. | 875 Waimanu St, Honolulu, HI 96813-5267 |
| Fern E Davis | Psychologist, Clinical | Care Hawaii, Inc. | 875 Waimanu St, Honolulu, HI 96813-5267 |
| Erik Acuna | Clinical Social Worker | Care Hawaii, Inc. | 875 Waimanu St, Honolulu, HI 96813-5267 |
| Street Address |
606 CORAL ST SUITE 1 |
| City | HONOLULU |
| State | HI |
| Zip | 96813-5135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Amanda Hammel | Nurse Practitioner | Care Hawaii, Inc. | 606 Coral St, Honolulu, HI 96813-5135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roswitha J Shanahan | Psychologist, Clinical | 2619 Haili Rd, Honolulu, HI 96813-1043 | |
| Eugene Kl Young | Optometry | 1125 Bethel St, Honolulu, HI 96813-2202 | |
| Pritam Tapryal | General Practice | 50 So Beretania St, Suite C119a, Honolulu, HI 96813-2215 | |
| Lynette W Tsai | Obstetrics/gynecology | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Kathy M Gadaingan | Nurse Practitioner | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Monique M Leung | Obstetrics/gynecology | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Eris Marie London | Nurse Practitioner | Lynette W Tsai Md Inc | 50 S Beretania St, Suite C211c, Honolulu, HI 96813-2222 |
| Katherine Jean Bellomy | Certified Nurse Midwife | Lynette W Tsai Md Inc | 50 S Beretania St, Honolulu, HI 96813-2222 |
| Inam Ur Rahman | Internal Medicine | 50 S Beretania St, Suite C210b, Honolulu, HI 96813-2283 | |
| David Y S Yee | Podiatry | 50 S Beretania St, Honolulu, HI 96813-2287 | |
| Find all physicians in zip 96813 | |||
| City | HONOLULU |
| Zip Code | 96813 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HONOLULU + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.