| Castle Physician Network | |
|
30 Aulike St Kailua HI 96734-2739 | |
| (808) 263-5011 | |
| Not Available |
| Full Name | Castle Physician Network |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Aulike St, Kailua, Hawaii |
| Authorized Official Name and Position | Jeff Nye (CFO) |
| Authorized Official Contact | 8082635142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Physician Network Po Box 129 Kailua HI 96734-0129 Ph: (808) 263-5011 | Castle Physician Network 30 Aulike St Kailua HI 96734-2739 Ph: (808) 263-5011 |
| NPI Number | 1043696206 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 6709177686 |
|---|---|
| Medicare Enrollment ID | O20160623001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043696206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Maria E Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720344906 PECOS PAC ID: 6103833264 Enrollment ID: I20060314000647 |
| Provider Name | Rosalina P Della |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205937141 PECOS PAC ID: 4880589951 Enrollment ID: I20070206000684 |
| Provider Name | Christy M Jun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272414 PECOS PAC ID: 9234200080 Enrollment ID: I20080623000023 |
| Provider Name | Mark Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972673416 PECOS PAC ID: 2860656063 Enrollment ID: I20120620000397 |
| Provider Name | Christine M Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831100163 PECOS PAC ID: 9032260310 Enrollment ID: I20130705000151 |
| Provider Name | Melissa V C Pae |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952678450 PECOS PAC ID: 3870721822 Enrollment ID: I20140121000258 |
| Provider Name | Robin H Lynch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083944490 PECOS PAC ID: 9133346109 Enrollment ID: I20140814002457 |
| Provider Name | Nichole L Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134501687 PECOS PAC ID: 0446560551 Enrollment ID: I20151102001410 |
| Provider Name | James P Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104052620 PECOS PAC ID: 3375836976 Enrollment ID: I20160719002538 |
| Provider Name | Meagan Jeanne Nolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255769915 PECOS PAC ID: 9133358856 Enrollment ID: I20161028001135 |
| Provider Name | Sara F Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912240821 PECOS PAC ID: 9830466937 Enrollment ID: I20170519002199 |
| Provider Name | Erick R Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225483241 PECOS PAC ID: 6103180427 Enrollment ID: I20190124003411 |
| Provider Name | Brijit Bertsche Reis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598850141 PECOS PAC ID: 7618865692 Enrollment ID: I20191003000419 |
| Provider Name | Jeanette Champeau Leitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336448158 PECOS PAC ID: 0547670846 Enrollment ID: I20201027001874 |
| Provider Name | Thomas Carr |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205935855 PECOS PAC ID: 2769385129 Enrollment ID: I20201116001873 |
| Provider Name | Kimberly Victoria Danks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245841931 PECOS PAC ID: 3971918988 Enrollment ID: I20210224000716 |
| Provider Name | Charles Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962940411 PECOS PAC ID: 1153679063 Enrollment ID: I20210618001711 |
| Provider Name | Sheeren L Masifi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336598184 PECOS PAC ID: 1658609334 Enrollment ID: I20210831003084 |
| Provider Name | Veronica Damasco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255537767 PECOS PAC ID: 0941698914 Enrollment ID: I20211025000226 |
| Provider Name | Joseph T Pummer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376998799 PECOS PAC ID: 8527353168 Enrollment ID: I20220818003595 |
| Provider Name | Marina M Nogues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598370439 PECOS PAC ID: 9133504533 Enrollment ID: I20220921002810 |
| Provider Name | Haley Mairead Neal Bujwid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245947167 PECOS PAC ID: 4789057373 Enrollment ID: I20230301002356 |
| Provider Name | Lucy Kahn Egesdal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528591385 PECOS PAC ID: 7719342732 Enrollment ID: I20230426003075 |
| Provider Name | Devin Tanaka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073282901 PECOS PAC ID: 9436507480 Enrollment ID: I20231130003328 |
| Provider Name | Brianna Sortland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255116240 PECOS PAC ID: 3577900653 Enrollment ID: I20240325002946 |
| Provider Name | Ryan Demello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366206393 PECOS PAC ID: 7214479690 Enrollment ID: I20240613000798 |
| Provider Name | Venecia Aidee Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558142778 PECOS PAC ID: 7618417783 Enrollment ID: I20240904004191 |
| Provider Name | Vanessa Annette Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417759598 PECOS PAC ID: 4688176985 Enrollment ID: I20250905003336 |
| Provider Name | Joby Marie Viray Marfori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770162919 PECOS PAC ID: 6507306677 Enrollment ID: I20260107004087 |
Midpacific Hospitalists LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 Uluniu St Fl 4, Kailua, HI 96734 Phone: 808-261-3326 |
Windward Digestive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Ulukahiki St, Suite 302, Kailua, HI 96734 Phone: 808-440-6789 Fax: 808-440-6777 |
Ageless Men's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Uluniu St Ste D, Kailua, HI 96734 Phone: 901-757-5783 |
About Face Kailua, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 Phone: 808-343-6341 Fax: 808-443-0297 |
Christian W. Boyens, M.D. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Aulike Street, Suite # 217, Kailua, HI 96734 Phone: 808-263-1330 Fax: 808-263-1335 |
The Medical Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Kailua Rd, Kailua, HI 96734 Phone: 808-954-4500 Fax: 808-266-3904 |