| North Hawaii Medical Group | |
|
67-1125 Mamalahoa Hwy Kamuela HI 96743-8496 | |
| (808) 881-4400 | |
| (808) 881-4404 |
| Full Name | North Hawaii Medical Group |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 67-1125 Mamalahoa Hwy, Kamuela, Hawaii |
| Authorized Official Name and Position | Money S. Atwal (DIRECTOR OF FINANCE & IT) |
| Authorized Official Contact | 8088814409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Hawaii Medical Group 67-1125 Mamalahoa Hwy Kamuela HI 96743-8496 Ph: (808) 881-4400 | North Hawaii Medical Group 67-1125 Mamalahoa Hwy Kamuela HI 96743-8496 Ph: (808) 881-4400 |
| NPI Number | 1528049814 |
|---|---|
| Provider Enumeration Date | 11/14/2005 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 0143116293 |
|---|---|
| Medicare Enrollment ID | O20040225000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528049814 | NPI | - | NPPES |
| Provider Name | Greigh I Hirata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144378670 PECOS PAC ID: 4183515026 Enrollment ID: I20040322001000 |
| Provider Name | Alvin N Furuike |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689684045 PECOS PAC ID: 1759343726 Enrollment ID: I20041102000121 |
| Provider Name | Clayton Y Yamada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134166739 PECOS PAC ID: 9739175365 Enrollment ID: I20041229000857 |
| Provider Name | Ronald Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417965682 PECOS PAC ID: 6204888258 Enrollment ID: I20050217000619 |
| Provider Name | Ryan T Matsuo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376599423 PECOS PAC ID: 5193788875 Enrollment ID: I20050408000773 |
| Provider Name | John D Chan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245280510 PECOS PAC ID: 2466415146 Enrollment ID: I20050408000789 |
| Provider Name | Reni A Soon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356328868 PECOS PAC ID: 3577595693 Enrollment ID: I20050908001114 |
| Provider Name | Catherine J Oliver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669400982 PECOS PAC ID: 4385629369 Enrollment ID: I20050924000140 |
| Provider Name | Dennis D Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437186384 PECOS PAC ID: 5890720601 Enrollment ID: I20050929001317 |
| Provider Name | Howard P W Wong |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992858070 PECOS PAC ID: 4789609496 Enrollment ID: I20051012000198 |
| Provider Name | Fredrick Yost |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821059353 PECOS PAC ID: 6204851660 Enrollment ID: I20051014000012 |
| Provider Name | Anne E Stohrer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881678027 PECOS PAC ID: 1557389558 Enrollment ID: I20051108000956 |
| Provider Name | Thomas Au |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184770463 PECOS PAC ID: 4880503895 Enrollment ID: I20051205000662 |
| Provider Name | George L Druger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811929904 PECOS PAC ID: 2466342209 Enrollment ID: I20051209000486 |
| Provider Name | Tae H Rho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164402434 PECOS PAC ID: 0840212148 Enrollment ID: I20051230000168 |
| Provider Name | John C.h. Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679731566 PECOS PAC ID: 8527081611 Enrollment ID: I20060104000213 |
| Provider Name | Roger E Yim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780780049 PECOS PAC ID: 7810887650 Enrollment ID: I20060116000028 |
| Provider Name | Russell C Gilbert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417918798 PECOS PAC ID: 8022025758 Enrollment ID: I20060321000359 |
| Provider Name | Tamara L Willis-buckley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669413126 PECOS PAC ID: 6406840636 Enrollment ID: I20060816000546 |
| Provider Name | Brian H Ching |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699715847 PECOS PAC ID: 1456394824 Enrollment ID: I20060822000570 |
| Provider Name | James R Madison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447231311 PECOS PAC ID: 3779568597 Enrollment ID: I20061025000584 |
| Provider Name | Bliss Ek Kaneshiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194811349 PECOS PAC ID: 2860418092 Enrollment ID: I20070823000432 |
| Provider Name | Donald Blair |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477523710 PECOS PAC ID: 7719939933 Enrollment ID: I20080211000460 |
| Provider Name | James F Raelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033286281 PECOS PAC ID: 6800971698 Enrollment ID: I20080304000216 |
| Provider Name | Bruce Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548246184 PECOS PAC ID: 7517033798 Enrollment ID: I20080912000274 |
| Provider Name | Christopher A Fiack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891716072 PECOS PAC ID: 3072672799 Enrollment ID: I20081110000207 |
| Provider Name | Patrick P Pedro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093915068 PECOS PAC ID: 3173683778 Enrollment ID: I20081126000244 |
| Provider Name | Pamela R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881629186 PECOS PAC ID: 3779648134 Enrollment ID: I20090218000437 |
| Provider Name | Blake A Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760512966 PECOS PAC ID: 0244385862 Enrollment ID: I20090903000488 |
| Provider Name | Jonathan Dworkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699973503 PECOS PAC ID: 3678619491 Enrollment ID: I20091008000516 |
| Provider Name | Gerard K Akaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285644658 PECOS PAC ID: 5294831996 Enrollment ID: I20100902000236 |
| Provider Name | Chuong Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396717690 PECOS PAC ID: 0941325328 Enrollment ID: I20100909001118 |
| Provider Name | Michael Shin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720234180 PECOS PAC ID: 6800911926 Enrollment ID: I20100914000087 |
| Provider Name | Ajay Bhatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164606646 PECOS PAC ID: 5193841559 Enrollment ID: I20100923000540 |
| Provider Name | Margo M Vassar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578784708 PECOS PAC ID: 0345349791 Enrollment ID: I20110119000371 |
| Provider Name | Todd B Seto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033209143 PECOS PAC ID: 2264612902 Enrollment ID: I20110211000647 |
| Provider Name | Paul C Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962558833 PECOS PAC ID: 1951588359 Enrollment ID: I20110613000504 |
| Provider Name | David K Singh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669431615 PECOS PAC ID: 8729010335 Enrollment ID: I20110719000539 |
| Provider Name | Pai-jong Stacy Tsai |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1578769667 PECOS PAC ID: 5991975971 Enrollment ID: I20110830000639 |
| Provider Name | Jennifer Real |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598779191 PECOS PAC ID: 6608884267 Enrollment ID: I20120810000634 |
| Provider Name | Ronson J Sato |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629271416 PECOS PAC ID: 3971798182 Enrollment ID: I20120823000759 |
| Provider Name | Andras Bratincsak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922206994 PECOS PAC ID: 0648429357 Enrollment ID: I20121012000147 |
| Provider Name | Kristi L Yearout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558698878 PECOS PAC ID: 1456494038 Enrollment ID: I20130607000419 |
| Provider Name | Kahealani K Rivera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841491818 PECOS PAC ID: 6305086802 Enrollment ID: I20130705000164 |
| Provider Name | Ian N Chun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013119700 PECOS PAC ID: 1254573868 Enrollment ID: I20130812000325 |
| Provider Name | Zia R Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205011517 PECOS PAC ID: 0244473320 Enrollment ID: I20130821000968 |
| Provider Name | Danielle Stovaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043448442 PECOS PAC ID: 8527294347 Enrollment ID: I20131126000349 |
| Provider Name | Stephanie K Abe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659691533 PECOS PAC ID: 6800023243 Enrollment ID: I20131211000332 |
| Provider Name | Jonathan H Zarley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659586832 PECOS PAC ID: 6103835434 Enrollment ID: I20131217000820 |
| Provider Name | Anthony J Herrera |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720220049 PECOS PAC ID: 4981827565 Enrollment ID: I20140529001240 |
| Provider Name | Ryan Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720371537 PECOS PAC ID: 2163646829 Enrollment ID: I20140820001775 |
| Provider Name | Michael R Wilkerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326362997 PECOS PAC ID: 3375792278 Enrollment ID: I20141231000011 |
| Provider Name | Brett C Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902054885 PECOS PAC ID: 2567631724 Enrollment ID: I20150120000005 |
| Provider Name | Thomas R Williams Iii |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427283605 PECOS PAC ID: 1557672458 Enrollment ID: I20150618002177 |
| Provider Name | Shandhini Raidoo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215228564 PECOS PAC ID: 7214240522 Enrollment ID: I20150715002340 |
| Provider Name | Anne S Kemble Luo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124255625 PECOS PAC ID: 2860705068 Enrollment ID: I20150716002909 |
| Provider Name | Daniel M Chevy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558680959 PECOS PAC ID: 1658505771 Enrollment ID: I20150810002116 |
| Provider Name | Rinku Uberoi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659423713 PECOS PAC ID: 5799009908 Enrollment ID: I20150812007955 |
| Provider Name | Alexandra E Ditullio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710243886 PECOS PAC ID: 1052620135 Enrollment ID: I20151013001052 |
| Provider Name | Omar A Abdul Ghani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982916839 PECOS PAC ID: 1850680422 Enrollment ID: I20160520001169 |
| Provider Name | Scott Harada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649571548 PECOS PAC ID: 4385958008 Enrollment ID: I20160628001261 |
| Provider Name | David Y Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265481519 PECOS PAC ID: 7618867128 Enrollment ID: I20160728001385 |
| Provider Name | Richard A Jack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306289129 PECOS PAC ID: 4789979196 Enrollment ID: I20160824002279 |
| Provider Name | Marisa Hori |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801195359 PECOS PAC ID: 4183857022 Enrollment ID: I20161115002294 |
| Provider Name | Ty Chun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659484699 PECOS PAC ID: 8426053299 Enrollment ID: I20161228002255 |
| Provider Name | Nirav Chaudhari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801935812 PECOS PAC ID: 0345332052 Enrollment ID: I20170126002217 |
| Provider Name | Jackie L Meister |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023454378 PECOS PAC ID: 2264675636 Enrollment ID: I20170406001006 |
| Provider Name | Charles N Weber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609197078 PECOS PAC ID: 7719278035 Enrollment ID: I20170623002490 |
| Provider Name | Carmelita Mangalindan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285612234 PECOS PAC ID: 6002831047 Enrollment ID: I20170824001233 |
| Provider Name | Crystal D Hammer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164787990 PECOS PAC ID: 9335437466 Enrollment ID: I20170824003342 |
| Provider Name | Darrin J Kuczynski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396855664 PECOS PAC ID: 6608764378 Enrollment ID: I20170925003473 |
| Provider Name | Jason Woo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962744573 PECOS PAC ID: 4082855440 Enrollment ID: I20170928001823 |
| Provider Name | Cheryl Twu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982845681 PECOS PAC ID: 8729256367 Enrollment ID: I20171013001946 |
| Provider Name | Tonya M Kratovil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598701476 PECOS PAC ID: 5799042107 Enrollment ID: I20171120001404 |
| Provider Name | Corey Lum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952668220 PECOS PAC ID: 2769744283 Enrollment ID: I20180321002466 |
| Provider Name | Kathleen J Gorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063461168 PECOS PAC ID: 1951405109 Enrollment ID: I20180423001804 |
| Provider Name | Jennifer K Hashimoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427552470 PECOS PAC ID: 4688929805 Enrollment ID: I20180612001459 |
| Provider Name | Le Kim Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891825014 PECOS PAC ID: 3779673371 Enrollment ID: I20180717002366 |
| Provider Name | Luke Md Lam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699112136 PECOS PAC ID: 6709134554 Enrollment ID: I20180809006284 |
| Provider Name | Jean M Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144367921 PECOS PAC ID: 4981846144 Enrollment ID: I20180810000321 |
| Provider Name | Matthew J Kolosky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023459211 PECOS PAC ID: 8921368226 Enrollment ID: I20180810002585 |
| Provider Name | Zachary B Love |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487817524 PECOS PAC ID: 2365765799 Enrollment ID: I20181204003243 |
| Provider Name | Brittney H Spivak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043607336 PECOS PAC ID: 0446563910 Enrollment ID: I20181211001831 |
| Provider Name | Amy B Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457454704 PECOS PAC ID: 7012032816 Enrollment ID: I20190216000067 |
| Provider Name | Michael E Aldridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033427067 PECOS PAC ID: 5193948107 Enrollment ID: I20190226001563 |
| Provider Name | Dipanjan Banerjee |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1295787299 PECOS PAC ID: 0749241859 Enrollment ID: I20190328001591 |
| Provider Name | Joseph S Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336468883 PECOS PAC ID: 5991950289 Enrollment ID: I20190411003054 |
| Provider Name | Kurt Davis Yoshino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316327059 PECOS PAC ID: 3072840453 Enrollment ID: I20190807003069 |
| Provider Name | Michael T Tanoue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124360615 PECOS PAC ID: 2163759143 Enrollment ID: I20190814001041 |
| Provider Name | Katie Schoenman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982042107 PECOS PAC ID: 3870734502 Enrollment ID: I20191017002536 |
| Provider Name | Rosana Mary Lastra Castellucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295077626 PECOS PAC ID: 7416244975 Enrollment ID: I20191112002977 |
| Provider Name | Gail E Boltron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184005365 PECOS PAC ID: 5395057848 Enrollment ID: I20191223000136 |
| Provider Name | Siting S S Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689662587 PECOS PAC ID: 4183634504 Enrollment ID: I20200102002394 |
| Provider Name | Edwin P Herd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215985320 PECOS PAC ID: 2365693223 Enrollment ID: I20200302000056 |
| Provider Name | Kirsten M.k. Kwan Wing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538498720 PECOS PAC ID: 3476981366 Enrollment ID: I20200309000874 |
| Provider Name | Valerie E Lawrence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912265117 PECOS PAC ID: 2567761166 Enrollment ID: I20200312001373 |
| Provider Name | Hilarie Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033641089 PECOS PAC ID: 5698047009 Enrollment ID: I20200417001107 |
| Provider Name | James L Murray |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205935079 PECOS PAC ID: 7911042130 Enrollment ID: I20200427002698 |
| Provider Name | Courtney E Middleton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376591495 PECOS PAC ID: 6204867468 Enrollment ID: I20200624001437 |
| Provider Name | Mark Lebehn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437444643 PECOS PAC ID: 1850662370 Enrollment ID: I20200710002322 |
| Provider Name | Annabelle N Janairo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699041921 PECOS PAC ID: 0042634149 Enrollment ID: I20200722001988 |
| Provider Name | Alamelu Ramamurthi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417397563 PECOS PAC ID: 9638594385 Enrollment ID: I20200729001235 |
| Provider Name | Sandra Rose Petersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295795672 PECOS PAC ID: 7214121052 Enrollment ID: I20200731001494 |
| Provider Name | David C Blood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710097001 PECOS PAC ID: 7113828278 Enrollment ID: I20200807002770 |
| Provider Name | Jana R Mullen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043291115 PECOS PAC ID: 8022134329 Enrollment ID: I20200812003174 |
| Provider Name | Alan Kuo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699193391 PECOS PAC ID: 7719303049 Enrollment ID: I20200818001934 |
| Provider Name | Chanel C Casamina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205361375 PECOS PAC ID: 8022434968 Enrollment ID: I20200821001903 |
| Provider Name | Karan Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1386904704 PECOS PAC ID: 7517203946 Enrollment ID: I20200915003734 |
| Provider Name | Arun Rajagopal |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1942230602 PECOS PAC ID: 5597653576 Enrollment ID: I20200916002728 |
| Provider Name | Aviva Aiden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497172480 PECOS PAC ID: 0547508400 Enrollment ID: I20201006001820 |
| Provider Name | Elizabeth C Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558894659 PECOS PAC ID: 6800133281 Enrollment ID: I20201006002758 |
| Provider Name | David L Kemp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366474918 PECOS PAC ID: 7315904182 Enrollment ID: I20201015001630 |
| Provider Name | Kimberly Ann Sung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265047419 PECOS PAC ID: 7719227800 Enrollment ID: I20201215001339 |
| Provider Name | Madhuri Kadiyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467426320 PECOS PAC ID: 5991781999 Enrollment ID: I20210225002025 |
| Provider Name | Rachel Ash Bernal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851317093 PECOS PAC ID: 4880648393 Enrollment ID: I20210309002636 |
| Provider Name | Douglas Brian Chapman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619944238 PECOS PAC ID: 5395641864 Enrollment ID: I20210408000204 |
| Provider Name | Jennifer Massara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174597165 PECOS PAC ID: 6709882046 Enrollment ID: I20210415000682 |
| Provider Name | Noor Azreen Binti Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891042958 PECOS PAC ID: 9335371491 Enrollment ID: I20210504002314 |
| Provider Name | Stanley Ilchul Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306940705 PECOS PAC ID: 2163566175 Enrollment ID: I20210512001007 |
| Provider Name | David Nathaniel Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780780031 PECOS PAC ID: 9830276476 Enrollment ID: I20210518003028 |
| Provider Name | Jesus Edinson Pino Moreno |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1609280544 PECOS PAC ID: 8729488176 Enrollment ID: I20210607002738 |
| Provider Name | Azriel Donius Dror |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992209977 PECOS PAC ID: 3971850330 Enrollment ID: I20210616002180 |
| Provider Name | Henry C Pollack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356357388 PECOS PAC ID: 8325042377 Enrollment ID: I20210617003031 |
| Provider Name | Mark A A Lum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568858850 PECOS PAC ID: 4284972407 Enrollment ID: I20210623003025 |
| Provider Name | Divya Louise Marie Dethier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568993640 PECOS PAC ID: 9335419043 Enrollment ID: I20210630001418 |
| Provider Name | Helaine June Kwong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306114210 PECOS PAC ID: 0042539504 Enrollment ID: I20210708002934 |
| Provider Name | Richard J Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659310191 PECOS PAC ID: 2668567033 Enrollment ID: I20210712003319 |
| Provider Name | Michael Murayama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629572623 PECOS PAC ID: 8325442379 Enrollment ID: I20210812001988 |
| Provider Name | Helen Rhodes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043311194 PECOS PAC ID: 2062495112 Enrollment ID: I20210820001365 |
| Provider Name | Paul Allen Isenbarger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134193980 PECOS PAC ID: 6002823762 Enrollment ID: I20211004001453 |
| Provider Name | Michael R Rutledge |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265624167 PECOS PAC ID: 5496992190 Enrollment ID: I20211029000825 |
| Provider Name | Michael D Craig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801999750 PECOS PAC ID: 2668476292 Enrollment ID: I20211222000365 |
| Provider Name | Sharon A Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942527007 PECOS PAC ID: 7214176890 Enrollment ID: I20220107000458 |
| Provider Name | Anamika Katoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194938324 PECOS PAC ID: 0143326272 Enrollment ID: I20220218002397 |
| Provider Name | Sarah J Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457526295 PECOS PAC ID: 3870715469 Enrollment ID: I20220224002285 |
| Provider Name | Karen S Lapesarde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376983023 PECOS PAC ID: 5698734556 Enrollment ID: I20220302002854 |
| Provider Name | Nuvneet Khandelwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013402502 PECOS PAC ID: 4880011089 Enrollment ID: I20220324001585 |
| Provider Name | Anne S Sigouin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346358777 PECOS PAC ID: 4880766385 Enrollment ID: I20220324001656 |
| Provider Name | Lisa Ann Lepine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750342234 PECOS PAC ID: 0648201160 Enrollment ID: I20220425002553 |
| Provider Name | Jennifer K Kratzer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821311465 PECOS PAC ID: 8729245352 Enrollment ID: I20220502000540 |
| Provider Name | Dallas Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259767 PECOS PAC ID: 4082789920 Enrollment ID: I20220502002170 |
| Provider Name | Silvia T Linares |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952501975 PECOS PAC ID: 2769566892 Enrollment ID: I20220621002587 |
| Provider Name | Michael Hong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306295225 PECOS PAC ID: 3577832633 Enrollment ID: I20220805002082 |
| Provider Name | Brian Charley Imada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679937973 PECOS PAC ID: 1850780487 Enrollment ID: I20220805002184 |
| Provider Name | John Sanico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518126697 PECOS PAC ID: 5092882472 Enrollment ID: I20220829002935 |
| Provider Name | Kimberlee Hashiba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932556008 PECOS PAC ID: 6204225485 Enrollment ID: I20220914000908 |
| Provider Name | Johol Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902867187 PECOS PAC ID: 1850466277 Enrollment ID: I20221011002556 |
| Provider Name | Daisy C Cortes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215234356 PECOS PAC ID: 4486957040 Enrollment ID: I20221017002573 |
| Provider Name | Ryan Shields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679812531 PECOS PAC ID: 9133413826 Enrollment ID: I20221020002128 |
| Provider Name | Jimmy Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205922689 PECOS PAC ID: 6305846882 Enrollment ID: I20221230002211 |
| Provider Name | Sherry-ann Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871856922 PECOS PAC ID: 1456597491 Enrollment ID: I20230307000244 |
| Provider Name | Nicholas Kennedy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447416235 PECOS PAC ID: 7911153325 Enrollment ID: I20230516002209 |
| Provider Name | Carol J Grabowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043280373 PECOS PAC ID: 4486828407 Enrollment ID: I20230531001722 |
| Provider Name | Serena Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649546813 PECOS PAC ID: 0547589657 Enrollment ID: I20230920002060 |
| Provider Name | Isaac Mizrahi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790130904 PECOS PAC ID: 7315281821 Enrollment ID: I20230920004070 |
| Provider Name | Barbora Kadecka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598382772 PECOS PAC ID: 6901250182 Enrollment ID: I20230921001434 |
| Provider Name | Steven Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518123041 PECOS PAC ID: 9234386236 Enrollment ID: I20231006000193 |
| Provider Name | Michael Taylor-cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992062319 PECOS PAC ID: 1850661430 Enrollment ID: I20231027000572 |
| Provider Name | Jacqueline Lynette De La Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063111391 PECOS PAC ID: 6305294737 Enrollment ID: I20231127000596 |
| Provider Name | Thomas Stoehr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548347768 PECOS PAC ID: 3678509676 Enrollment ID: I20231128002368 |
| Provider Name | Bruce Mcclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386731883 PECOS PAC ID: 1658275383 Enrollment ID: I20240104004724 |
| Provider Name | Noel Chia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083696975 PECOS PAC ID: 6204740723 Enrollment ID: I20240105004118 |
| Provider Name | Macarthur Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992994487 PECOS PAC ID: 1759418965 Enrollment ID: I20240301001117 |
| Provider Name | Abraham Chyung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073590725 PECOS PAC ID: 4587696372 Enrollment ID: I20240313002158 |
Nina M. Kalckar, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1206 Mamalahoa Hwy, Bld 2-2, Kamuela, HI 96743 Phone: 808-333-2567 | |
Serendipity Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1206 Mamalahoa Hwy, Kamuela, HI 96743 Phone: 808-936-9298 | |
Big Island Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1230 Mamalahoa Hwy, Ste D21, Kamuela, HI 96743 Phone: 253-678-5715 | |
Mauna Kea Sky Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-1040 Mamalahoa Hwy, Suite 202, Kamuela, HI 96743 Phone: 808-937-7323 Fax: 808-933-3601 | |
Serendipity, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1206 Mamalahoa Hwy, Kamuela, HI 96743 Phone: 808-936-9298 | |
Kaiao Ola Integrative Healing, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1298b Kawaihae Rd, Suite 21, Kamuela, HI 96743 Phone: 808-937-9699 Fax: 808-885-5050 | |
Kipuka O Ke Ola Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 64-1035 Mamalaho Hwy Ste F, Kamuela, HI 96743 Phone: 808-885-5900 Fax: 808-885-6900 |