| Innovation Md Llc | |
|
45-1151 Kamehameha Hwy Ste C Kaneohe HI 96744-3211 | |
| (808) 247-7770 | |
| (808) 247-7799 |
| Full Name | Innovation Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 45-1151 Kamehameha Hwy Ste C, Kaneohe, Hawaii |
| Authorized Official Name and Position | Elizabeth Samsami (MEDICAL OFFICE MANAGER) |
| Authorized Official Contact | 8083870911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Md Llc 45-1151 Kamehameha Hwy Ste C Kaneohe HI 96744-3211 Ph: (808) 247-7770 | Innovation Md Llc 45-1151 Kamehameha Hwy Ste C Kaneohe HI 96744-3211 Ph: (808) 247-7770 |
| NPI Number | 1225352966 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 02/18/2020 |
| Medicare PECOS PAC ID | 2769516228 |
|---|---|
| Medicare Enrollment ID | O20100819000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225352966 | NPI | - | NPPES |
| 558835 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD13057 (Hawaii) | Primary |
| Provider Name | David M Samsami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043382005 PECOS PAC ID: 7517922362 Enrollment ID: I20041122000528 |
| Provider Name | Jocelyn A Mizunaka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336409820 PECOS PAC ID: 6406017888 Enrollment ID: I20160301002409 |
Scott J. Miscovich Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46-001 Kamehameha Hwy Ste 109, Kaneohe, HI 96744 Phone: 808-247-7596 | |
Maulihiwa Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46-005 Kawa St Ste 203, Kaneohe, HI 96744 Phone: 808-247-9616 | |
Ann Pearl Care Home, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45-181 Waikalua Rd, Kaneohe, HI 96744 Phone: 808-247-8558 | |
Kaneohe Family Chiropractic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46-001 Kamehameha Hwy, Suite 420, Kaneohe, HI 96744 Phone: 808-234-5535 Fax: 808-234-5503 | |
Heslinga Samsami Medical Offices, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46-001 Kamehameha Hwy, Suite 204, Kaneohe, HI 96744 Phone: 808-247-9779 Fax: 808-236-3238 | |
Joseph C. S. Tsai, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46-001 Kamehameha Hwy, Suite 303, Kaneohe, HI 96744 Phone: 808-235-6464 Fax: 808-236-3207 |