| Mi-health Llc | |
|
770 Kapiolani Blvd Ste 114 Honolulu HI 96813-5254 | |
| (808) 666-9960 | |
| (808) 666-9356 |
| Full Name | Mi-health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 770 Kapiolani Blvd Ste 114, Honolulu, Hawaii |
| Authorized Official Name and Position | David Su (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8086669960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi-health Llc 770 Kapiolani Blvd Ste 114 Honolulu HI 96813-5254 Ph: (808) 666-9960 | Mi-health Llc 770 Kapiolani Blvd Ste 114 Honolulu HI 96813-5254 Ph: (808) 666-9960 |
| NPI Number | 1154064855 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Medicare PECOS PAC ID | 0143605030 |
|---|---|
| Medicare Enrollment ID | O20220913002100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154064855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Ton Ming Chiang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790896991 PECOS PAC ID: 8527011766 Enrollment ID: I20050301000674 |
| Provider Name | Toby L Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124239389 PECOS PAC ID: 6800933912 Enrollment ID: I20091022000186 |
| Provider Name | Sanders C Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881873487 PECOS PAC ID: 3678610458 Enrollment ID: I20100104000493 |
| Provider Name | Arnold Wh Kop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629178157 PECOS PAC ID: 8224162367 Enrollment ID: I20100811000849 |
| Provider Name | Aleza Matayoshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104962133 PECOS PAC ID: 1456414531 Enrollment ID: I20100811000910 |
| Provider Name | Craig H Nakatsuka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154422251 PECOS PAC ID: 0345374484 Enrollment ID: I20100811000942 |
| Provider Name | Fay Stearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366745788 PECOS PAC ID: 9739364712 Enrollment ID: I20110506000734 |
| Provider Name | Steven T Ito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063819191 PECOS PAC ID: 4183943699 Enrollment ID: I20150505002333 |
| Provider Name | Nicholas K Muraoka |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295034866 PECOS PAC ID: 5799942140 Enrollment ID: I20150722006442 |
| Provider Name | Mai-lee C Eriksson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124408547 PECOS PAC ID: 9638484678 Enrollment ID: I20150819008368 |
| Provider Name | Christopher Dubuque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639545528 PECOS PAC ID: 4789978685 Enrollment ID: I20190724000884 |
| Provider Name | Daniel Shawn Burdick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124386073 PECOS PAC ID: 6406121946 Enrollment ID: I20200114001402 |
| Provider Name | Thomas Weiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508187519 PECOS PAC ID: 3476788118 Enrollment ID: I20200902002623 |
| Provider Name | Gawtham Gutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245262617 PECOS PAC ID: 5395706329 Enrollment ID: I20210323000508 |
| Provider Name | Imnas B Macabugao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225793805 PECOS PAC ID: 6406247154 Enrollment ID: I20220106002650 |
| Provider Name | Justin Aaron Crutchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922770403 PECOS PAC ID: 1456738780 Enrollment ID: I20220506000836 |
| Provider Name | Charles Dalton Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053019596 PECOS PAC ID: 9032578752 Enrollment ID: I20230628003910 |
| Provider Name | James Loughran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588643753 PECOS PAC ID: 3476573247 Enrollment ID: I20231214000768 |
| Provider Name | Alyse Poll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135089 PECOS PAC ID: 8921309287 Enrollment ID: I20231220001621 |
| Provider Name | Alisha Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174781553 PECOS PAC ID: 8921493677 Enrollment ID: I20231220002402 |
| Provider Name | James Grandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700650801 PECOS PAC ID: 6709237084 Enrollment ID: I20240111000872 |
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