| Malama I Ke Ola Health Center | |
|
1881 Nani Street Wailuku HI 96793 | |
| (808) 871-7772 | |
| (808) 872-4029 |
| Full Name | Malama I Ke Ola Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1881 Nani Street, Wailuku, Hawaii |
| Authorized Official Name and Position | Betty Jane Ott (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8088724018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malama I Ke Ola Health Center 1881 Nani Street Wailuku HI 96793-1811 Ph: (808) 871-7772 | Malama I Ke Ola Health Center 1881 Nani Street Wailuku HI 96793 Ph: (808) 871-7772 |
| NPI Number | 1528042561 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 10/15/2020 |
| Medicare PECOS PAC ID | 2466365440 |
|---|---|
| Medicare Enrollment ID | O20040219000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528042561 | NPI | - | NPPES |
| 071290-01 | Medicaid | HI |
| Provider Name | Michael C Aaronoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013991132 PECOS PAC ID: 5193774115 Enrollment ID: I20050201000818 |
| Provider Name | Janet M Burlingame |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164406286 PECOS PAC ID: 1850323395 Enrollment ID: I20050906001066 |
| Provider Name | Mark D Breithaupt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053436337 PECOS PAC ID: 2264455120 Enrollment ID: I20060106000439 |
| Provider Name | Anita P Waterford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528082708 PECOS PAC ID: 9830087501 Enrollment ID: I20090928000552 |
| Provider Name | Guy M Sugino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174624027 PECOS PAC ID: 3870774086 Enrollment ID: I20110222000304 |
| Provider Name | Sally M Bowles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447471743 PECOS PAC ID: 6800940909 Enrollment ID: I20110803000764 |
| Provider Name | Tigist N Mammo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194923961 PECOS PAC ID: 4789854779 Enrollment ID: I20120313000789 |
| Provider Name | Jennifer M Baumstark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033290911 PECOS PAC ID: 8325047798 Enrollment ID: I20120626000469 |
| Provider Name | Dena R Towner |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1962484980 PECOS PAC ID: 3678632437 Enrollment ID: I20120718000490 |
| Provider Name | Duffy M Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346478161 PECOS PAC ID: 0345473187 Enrollment ID: I20140502000217 |
| Provider Name | Aaron Altura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043257926 PECOS PAC ID: 3577788546 Enrollment ID: I20140707001875 |
| Provider Name | Casandra Connie Simonson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477842060 PECOS PAC ID: 8426376823 Enrollment ID: I20150415001494 |
| Provider Name | Jaimie Mariko Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710298229 PECOS PAC ID: 7719205061 Enrollment ID: I20150416000915 |
| Provider Name | Melissa S Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770876948 PECOS PAC ID: 2567770548 Enrollment ID: I20150925000394 |
| Provider Name | Gabrielle O Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295881332 PECOS PAC ID: 6507820412 Enrollment ID: I20160808001722 |
| Provider Name | Men-jean Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992892871 PECOS PAC ID: 5193724748 Enrollment ID: I20161003002479 |
| Provider Name | Jaime Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710286489 PECOS PAC ID: 7517271612 Enrollment ID: I20161104001370 |
| Provider Name | John Vaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952556201 PECOS PAC ID: 5698916401 Enrollment ID: I20170621001023 |
| Provider Name | Daniel Nead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720453640 PECOS PAC ID: 9537464763 Enrollment ID: I20170707001437 |
| Provider Name | Corrie B Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538502505 PECOS PAC ID: 6002187358 Enrollment ID: I20170803003571 |
| Provider Name | Kelly Yamasato |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1114138450 PECOS PAC ID: 6204972359 Enrollment ID: I20171106002656 |
| Provider Name | Alison Saulog Rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366709586 PECOS PAC ID: 6901160852 Enrollment ID: I20180501002648 |
| Provider Name | Trina Chakravarty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558744177 PECOS PAC ID: 7416230925 Enrollment ID: I20190307002845 |
| Provider Name | Heather Milovina |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154872273 PECOS PAC ID: 7719220706 Enrollment ID: I20190514002473 |
| Provider Name | Helen A Barrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972066710 PECOS PAC ID: 1759624257 Enrollment ID: I20190524002209 |
| Provider Name | Zena I Monji |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902884539 PECOS PAC ID: 0042313132 Enrollment ID: I20190619000936 |
| Provider Name | Bethany Jo Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598319675 PECOS PAC ID: 2264866060 Enrollment ID: I20200103001292 |
| Provider Name | Christina M Nardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699213835 PECOS PAC ID: 8224306519 Enrollment ID: I20200326000636 |
| Provider Name | Amy Nakama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275997025 PECOS PAC ID: 1153750062 Enrollment ID: I20200327002463 |
| Provider Name | Tina Hualani Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053935320 PECOS PAC ID: 7416377676 Enrollment ID: I20201009000754 |
| Provider Name | Meghan Elizabeth Twomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245818954 PECOS PAC ID: 7911315668 Enrollment ID: I20210416001606 |
| Provider Name | Nadia Hussain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114378718 PECOS PAC ID: 6204245327 Enrollment ID: I20210430002057 |
| Provider Name | Jaydene Mcdaniel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083274195 PECOS PAC ID: 7618372194 Enrollment ID: I20210820002522 |
| Provider Name | Jeuniece R Sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174016372 PECOS PAC ID: 3173870029 Enrollment ID: I20211116001714 |
| Provider Name | Kathleen S Kearns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265528673 PECOS PAC ID: 7113009671 Enrollment ID: I20220330002064 |
| Provider Name | Andrew Van Wieren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639463532 PECOS PAC ID: 4587805809 Enrollment ID: I20220428002131 |
| Provider Name | Heather Milovina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154872273 PECOS PAC ID: 7719220706 Enrollment ID: I20220624001797 |
| Provider Name | Paul Chung |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265027361 PECOS PAC ID: 8123403623 Enrollment ID: I20220920001842 |
| Provider Name | Anne Baker Bealer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679929962 PECOS PAC ID: 5193007482 Enrollment ID: I20221006002648 |
| Provider Name | Gerald-ronson Montano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528370558 PECOS PAC ID: 6002186749 Enrollment ID: I20230320001052 |
| Provider Name | Jason Gong Zhang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699416891 PECOS PAC ID: 1951762285 Enrollment ID: I20230802001569 |
| Provider Name | Mariam R Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184869224 PECOS PAC ID: 7113388497 Enrollment ID: I20230802003707 |
| Provider Name | Bethany Ambrosi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437492279 PECOS PAC ID: 1557632817 Enrollment ID: I20231120002761 |
| Provider Name | Julia Kahalelaukoa Ii H Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285404996 PECOS PAC ID: 5496107021 Enrollment ID: I20240119001320 |
Eri Shimizu M.d. Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 Hookahi St Ste 305, Wailuku, HI 96793 Phone: 808-435-6262 Fax: 877-795-4940 | |
Paradise Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Kaohu St, Wailuku, HI 96793 Phone: 808-377-4734 Fax: 808-377-4734 | |
Maui Pharmacy Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Mahalani St Rm 10, Wailuku, HI 96793 Phone: 808-446-3348 Fax: 808-451-2516 | |
Malama I Ke Ola Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 670 Waiale Rd Apt A, Wailuku, HI 96793 Phone: 808-244-0220 | |
Maui Infectious Diseases Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-442-5700 Fax: 808-827-2321 | |
Kaiser Permanente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 661-477-7571 | |
Paradise Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 871 Kolu St, #101, Wailuku, HI 96793 Phone: 808-242-4764 |