DR. RUSSELL M TOM LLC - NPI 1659091171 - Internal Medicine in Aiea, HI

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

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About Dr. Russell M Tom Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL M TOM LLC (NPI 1659091171) is a healthcare organization registered as an internal medicine in Aiea, Hawaii and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Hien Ramones, Biller, as its authorized official.

NPPES Registry Identity

NPI1659091171

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDR. RUSSELL M TOM LLC

Location Address98-1079 MOANALUA RD STE 350Aiea, HI 96701-4714

Mailing Address98-1079 Moanalua Rd Ste 350Aiea, HI 96701-4714 · (808) 487-2277 · Fax (808) 488-5582

Phone(808) 487-2277

Fax(808) 488-5582

Organization SubpartNo

Authorized OfficialHien RamonesBiller · (808) 629-7845

Enumeration DateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1659091171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

98-1079 MOANALUA RD STE 350, Aiea, HI 96701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2277827

Dr Russell M Tom LLC · Aiea, HI

Active · expires Mar 5, 2027

CLIA Number12D2277827

Laboratory TypePhysician Office

Certificate Effective DateMarch 6, 2025

Certificate Expiration DateMarch 5, 2027

Laboratory DirectorRussell M. Tom

Laboratory Phone(808) 487-2277

Laboratory LocationDr Russell M Tom LLC98-1079 Moanalua Rd, Suite 350b, Aiea, HI 96701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M SAITO MD LLC

Internal Medicine