BOARDSPORTSDOC – NPI #1871819318
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

BOARDSPORTSDOC is a provider located in WAIALUA, HI. NPPES has assigned the NPI number 1871819318 to BOARDSPORTSDOC on April 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOARDSPORTSDOC” is a dba name, the actual legal business name for this organization is WAVES OF HEALTH LLC. The primary taxonomy selected by this provider is 207RS0010X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 14 years ago on Dec 22, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOARDSPORTSDOC below.

NPI Profile for
WAVES OF HEALTH LLC

NPI Number
1871819318
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAVES OF HEALTH LLC
Doing Business As (dba): BOARDSPORTSDOC
Primary location
68-615 FARRINGTON HWY
21A
WAIALUA, HI 96791-9377
Phone: (303) 882-7739 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLAYTON EVERLINE
PHYSICIAN
Phone: (303) 882-7739
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RS0010X
- Internal Medicine / Sports Medicine (Primary)		 HI MD-15206

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.