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HONOLULU SPORTS MEDICAL CLINIC INC. NPI 1861532426


NPI Information

NPI: 1861532426
Provider Name: HONOLULU SPORTS MEDICAL CLINIC, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
932 WARD AVE
SUITE 460
HONOLULU, HI
ZIP 96814
Phone: (808) 521-6564
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HONOLULU SPORTS MEDICAL CLINIC, INC. is a family medicine in Honolulu, HI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HONOLULU SPORTS MEDICAL CLINIC, INC. NPI is 1861532426. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

932 WARD AVE
SUITE 460
HONOLULU, HI
ZIP 96814-131
Phone: (808) 521-6564

The provider's authorized official is Carol Ann Donovan .
The authorized official title is Clinic Administrator and has the following contact phone number (808) 521-6564.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207QS0010XFamily MedicineSports MedicineX
3207R00000XInternal MedicineX
4207RP1001XInternal MedicinePulmonary DiseaseX
5207X00000XOrthopaedic SurgeryX
6207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineX
7207XX0005XOrthopaedic SurgerySports MedicineX
8207XX0801XOrthopaedic SurgeryOrthopaedic TraumaX
92083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineX
102083P0901XPreventive MedicinePublic Health & General Preventive MedicineX
112083X0100XPreventive MedicineOccupational MedicineX
12209800000XLegal MedicineX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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