Active NPI
Hawaii PM&R
- Physical Medicine & Rehabilitation Physician
- Honolulu, HI
National Provider Identifier
1477922185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 17167
- Legal business name
- HAWAII PM&R
- Practice address
- 1125 Young St Apt 806
Honolulu, HI 96814-1972 - Phone
- (808) 931-9167
- NPI assigned
- Sep 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tamara Kollarova, M.D.
- Title
- Physician
- Phone
- (808) 931-9167
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 17167 | HI | Primary |
Addresses
Primary practice location
1125 Young St Apt 806
Honolulu, HI 96814-1972
Mailing address
1125 Young St Apt 806
Honolulu, HI 96814-1972
Phone (808) 931-9167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442966400000",
"number": "1477922185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 YOUNG ST APT 806",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141972",
"telephone_number": "808-931-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 YOUNG ST APT 806",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141972",
"telephone_number": "808-931-9167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWAII PM&R",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A",
"authorized_official_last_name": "KOLLAROVA",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "808-931-9167",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "HI",
"license": "17167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Hawaii Pelvic Therapy, LLC
- Hawaii Permanente Medical Group Inc
- Hawaii Pet Imaging LLC
- Hawaii Pet Imaging, LLC.
- Hawaii Physical Therapy, Inc.
- Hawaii Premier Dermatology Inc
- Hawaii Primary Care Association
- Hawaii Professional Audiology, LLC
- Hawaii Professionals Homecare Services Inc.
- Hawaii Prosthodontics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.