Provider Demographics
NPI:1700958790
Name:WARNER, JAMES M (MD)
Entity Type:Individual
Prefix:PROF
First Name:JAMES
Middle Name:M
Last Name:WARNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:820 MILILANI ST
Mailing Address - Street 2:SUITE 702A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2993
Mailing Address - Country:US
Mailing Address - Phone:808-523-9363
Mailing Address - Fax:808-523-9418
Practice Address - Street 1:1288 KAPIOLANI BLVD APT 4605
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2877
Practice Address - Country:US
Practice Address - Phone:808-597-1379
Practice Address - Fax:808-597-1379
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI207R0000X207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000254094OtherHMSA KUAKINI HOSP
HI57020102Medicaid
HI00A0254092OtherHMSA ST FRANCES WEST
HIH100740Medicare ID - Type Unspecified
HI00A0254092OtherHMSA ST FRANCES WEST
HI0000254094OtherHMSA KUAKINI HOSP