Honolulu Sports Medical Clinic, Inc.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

HONOLULU SPORTS MEDICAL CLINIC, INC.

Practice address

932 Ward Ave
Suite 460
Honolulu, HI 96814-2131

Phone

(808) 521-6564

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Carol Ann Donovan

Title

Clinic Administrator

Phone

(808) 521-6564

Specialties & licenses 12

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Chester Nierenberg, M.D.

  • Legal Medicine (M.D./D.O.) Physician
  • Honolulu, HI
  • NPI 1487794012

  Sports Medicine

  NPD (past)
• Jon Hart Scarpino, M.D.

  • Legal Medicine (M.D./D.O.) Physician
  • Honolulu, HI
  • NPI 1780725481

  Orthopaedic Surgery

  NPD (past)
• George Herbert Seberg Jr., M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1245394543
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861532426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 WARD AVE",
            "address_2": "SUITE 460",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142131",
            "telephone_number": "808-521-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 WARD AVE",
            "address_2": "SUITE 460",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142131",
            "telephone_number": "808-521-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU SPORTS MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "808-521-6564"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honolulu Psychiatric Sercies LLC
• Honolulu Psychiatric Services LLC
• Honolulu Psychology Collective LLC
• Honolulu Smiles
• Honolulu Spine Center, LLC
• Honolulu Surgery Center LP
• Honolulu Therapy Services, LLC
• Honolulu Urgent Care Clinic Incorporated
• Honolulu Vamc
• Honolulu Vamc

• Occupational Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Occupational Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.