| Advanced Reproductive Medicine And Gynecology Of Hawaii, Inc. | |
|
1401 S Beretania St Ste 250 Honolulu HI 96814 | |
| (808) 262-0544 | |
| (808) 262-3744 |
| Full Name | Advanced Reproductive Medicine And Gynecology Of Hawaii, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 S Beretania St Ste 250, Honolulu, Hawaii |
| Authorized Official Name and Position | John L. Frattarelli (CO-OWNER) |
| Authorized Official Contact | 8082620544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Reproductive Medicine And Gynecology Of Hawaii, Inc. 1401 S Beretania St Ste 250 Honolulu HI 96814-1876 Ph: (808) 545-2800 | Advanced Reproductive Medicine And Gynecology Of Hawaii, Inc. 1401 S Beretania St Ste 250 Honolulu HI 96814 Ph: (808) 262-0544 |
| NPI Number | 1639327869 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 1951447721 |
|---|---|
| Medicare Enrollment ID | O20091008000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639327869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | W9930065101 (Hawaii) | Primary |
| Provider Name | Leighann C Frattarelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720030695 PECOS PAC ID: 5597713453 Enrollment ID: I20050106000931 |
| Provider Name | John L Frattarelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356323091 PECOS PAC ID: 5395881171 Enrollment ID: I20091008000161 |
| Provider Name | Sloane Wakefield Berger-chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912943325 PECOS PAC ID: 1557376456 Enrollment ID: I20121120000175 |
| Provider Name | Anatte E Karmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942586581 PECOS PAC ID: 4385897420 Enrollment ID: I20180417000358 |
| Provider Name | Emily J Goulet |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1366732224 PECOS PAC ID: 1355653593 Enrollment ID: I20200304002963 |
| Provider Name | Jeongah Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992322580 PECOS PAC ID: 8820457922 Enrollment ID: I20230707001892 |
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