Organization Active NPI

Steve E Clark MD Thelma M Yamada MD LLC

  • Specialist
  • Wailuku, HI
National Provider Identifier
1902938384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD5400 Issued in HI
Legal business name
STEVE E CLARK MD THELMA M YAMADA MD LLC
Practice address
1827 Wells St
Wailuku, HI 96793-2370
Phone
(808) 242-8526
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve E. Clark, M.D.NPI 1255479424
Title
Member
Phone
(808) 242-8526

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)CodeLicenseStatePrimary
Specialist 174400000X MD5400 HI Primary

Addresses

Primary practice location

1827 Wells St
Wailuku, HI 96793-2370

Mailing address

1827 Wells St
Wailuku, HI 96793-2370
Phone (808) 242-8526

National Provider Directory

National Provider Directory

Locations

1885 Main St
Ste 405
Wailuku, HI 96793
Phone (808) 242-8526

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902938384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 WELLS ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932370",
            "telephone_number": "808-242-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 WELLS ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932370",
            "telephone_number": "808-242-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE E CLARK MD THELMA M YAMADA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-242-8526",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.