Kentaro Hanawa

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

AT-303 Issued in HI

Practice address

94-294 Anania Dr
Mililani, HI 96789-2525

Phone

(308) 627-1593

NPI assigned

Jan 13, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083003172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ENOS LN APT A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968224514",
            "telephone_number": "308-627-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-294 ANANIA DR",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892525",
            "telephone_number": "308-627-1593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688455039",
            "country_code": "US",
            "telephone_number": "308-627-9752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANAWA",
        "first_name": "KENTARO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "HI",
            "license": "AT-303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal Janaka Gunawardane, M.D.,M.B.B.S,
• Roy Noel Gutierrez
• Alejandra Hahn
• Kira Hamamura
• Kiana Hamler
• Steven A Hankins, M.D., M.P.H., M.T.S.
• Mirie Hara, DNP, APRN-RX, FNP-BC
• Alyssa Harada
• Tammie Harada, PT
• Rachel Hardisty

• Sports Medicine (Emergency Medicine) Physician in Mililani, HI
• Providers in Mililani, HI by specialty
• Sports Medicine (Emergency Medicine) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.