| Hawaii Health Systems Corporation | |
|
4489 Papalina Rd Kalaheo HI 96741 | |
| (808) 332-8523 | |
| (808) 332-7050 |
| Full Name | Hawaii Health Systems Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 4489 Papalina Rd, Kalaheo, Hawaii |
| Authorized Official Name and Position | Lance K Segawa (REGIONAL CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8083389431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Health Systems Corporation Po Box 669 Waimea HI 96796-0669 Ph: (808) 338-9493 | Hawaii Health Systems Corporation 4489 Papalina Rd Kalaheo HI 96741 Ph: (808) 332-8523 |
| NPI Number | 1679045124 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 12/21/2018 |
| Medicare PECOS PAC ID | 4688908924 |
|---|---|
| Medicare Enrollment ID | O20190620001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679045124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Surachat Chatkupt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407888977 PECOS PAC ID: 7012903222 Enrollment ID: I20040422001421 |
| Provider Name | Ronald Y Fujimoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962407668 PECOS PAC ID: 2567449580 Enrollment ID: I20040707000552 |
| Provider Name | Allen C Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134224686 PECOS PAC ID: 1254398746 Enrollment ID: I20041216000299 |
| Provider Name | Mary L Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285639971 PECOS PAC ID: 5698666832 Enrollment ID: I20050713000118 |
| Provider Name | Ralph A Dupree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578512331 PECOS PAC ID: 5496645210 Enrollment ID: I20051026000406 |
| Provider Name | Elisabeth N Biuk-aghai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740357938 PECOS PAC ID: 3678653177 Enrollment ID: I20080109000870 |
| Provider Name | Graham Timothy Chelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063459311 PECOS PAC ID: 8729078324 Enrollment ID: I20090110000178 |
| Provider Name | Michelle L Tom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750319539 PECOS PAC ID: 8426156779 Enrollment ID: I20121022000360 |
| Provider Name | Connie M Lutkevich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972552412 PECOS PAC ID: 0941343800 Enrollment ID: I20130123000170 |
| Provider Name | Beverly E Tumbaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275964223 PECOS PAC ID: 3476786153 Enrollment ID: I20140502001880 |
| Provider Name | Charles S Tomek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801807219 PECOS PAC ID: 0345377214 Enrollment ID: I20140610002549 |
| Provider Name | Micheal Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205820842 PECOS PAC ID: 7618901018 Enrollment ID: I20140711001569 |
| Provider Name | Stephen D Coleman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952368987 PECOS PAC ID: 4789611823 Enrollment ID: I20141125000007 |
| Provider Name | Candice T Myhre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871543710 PECOS PAC ID: 2769454123 Enrollment ID: I20150331000319 |
| Provider Name | Narreinar P Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013199744 PECOS PAC ID: 6204025927 Enrollment ID: I20160526001763 |
| Provider Name | Cynthia D Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558353920 PECOS PAC ID: 2961420625 Enrollment ID: I20170117001984 |
| Provider Name | Holly M Poag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376755330 PECOS PAC ID: 6507940442 Enrollment ID: I20170830002995 |
| Provider Name | Ramya Srinivasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558665588 PECOS PAC ID: 1759690803 Enrollment ID: I20200305002564 |
| Provider Name | Christopher D Orlang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205217171 PECOS PAC ID: 9436419462 Enrollment ID: I20200604001998 |
| Provider Name | Amy R Guyton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033640297 PECOS PAC ID: 7416203393 Enrollment ID: I20200812001915 |
| Provider Name | Farzaneh S Kazimi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801851951 PECOS PAC ID: 3476574922 Enrollment ID: I20201005002314 |
| Provider Name | Heidi J Purcell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275888513 PECOS PAC ID: 8224264783 Enrollment ID: I20210112001315 |
| Provider Name | Vincent Ortolano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669497814 PECOS PAC ID: 2668435777 Enrollment ID: I20210312000552 |
Hhsc - Kauai Region Clinics The Clinic At Kalaheo Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4489 Papalina Rd, Kalaheo, HI 96741 Phone: 808-332-8523 Fax: 808-332-7050 | |
Kauai Veterans Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2469 Puu Rd Ste C, Kalaheo, HI 96741 Phone: 808-652-0048 Fax: 808-378-4558 | |
Malama Na Keiki O Kauai, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2469 Puu Rd Ste C, Kalaheo, HI 96741 Phone: 808-645-1286 | |
Hhsc - Kauai Region Clinics The Specialty Clinic At Kalaheo Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2469 Puu Rd Ste C, Kalaheo, HI 96741 Phone: 808-378-4557 Fax: 808-378-4558 |