BOARDSPORTSDOC
NPI 1871819318
Internal Medicine - Sports Medicine in Waialua, HI

Active since April 08, 2010
68-615 FARRINGTON HWY, 21A, WAIALUA, HI 96791(303) 882-7739 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Boardsportsdoc NPPES

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

BOARDSPORTSDOC (NPI 1871819318) is a healthcare organization registered as a sports medicine in Waialua, Hawaii and active in the NPI registry since April 2010. The organization lists Clayton Austin Everline, Physician, as its authorized official.

NPPES Registry Identity

NPI1871819318
Entity TypeOrganization
Primary Taxonomy207RS0010X
Legal Business NameWAVES OF HEALTH LLC
Location Address68-615 FARRINGTON HWY, 21AWaialua, HI 96791-9377
Mailing Address68-615 Farrington Hwy, 21aWaialua, HI 96791-9377 · (303) 882-7739
Organization SubpartNo
Authorized OfficialClayton Austin EverlinePhysician · (303) 882-7739
Enumeration DateApril 8, 2010
Last NPPES UpdateDecember 22, 2011
NPI 1871819318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License Licensed in HI · MD-15206
Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

68-615 FARRINGTON HWY, Waialua, HI 96791

Other Names 1

Doing Business AsBoardsportsdoc

Other Identifiers 1

Medicare UPIN139730L6FNJ

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871819318, enumerated as an "organization" on April 08, 2010.

The provider is located at 68-615 FARRINGTON HWY 21A WAIALUA, HI 96791 and the phone number is (303) 882-7739.

Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.