| Pacific Vascular Institute-kona | |
|
75-184 Hualalai Rd Ste 100-101 Kailua Kona HI 96740-1719 | |
| (805) 975-7463 | |
| Not Available |
| Full Name | Pacific Vascular Institute-kona |
|---|---|
| Speciality | Clinic/Center |
| Location | 75-184 Hualalai Rd Ste 100-101, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Hardeep Reddick (MANAGER) |
| Authorized Official Contact | 8059757463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Vascular Institute-kona 75-184 Hualalai Rd Ste 100-101 Kailua Kona HI 96740-1719 Ph: () - | Pacific Vascular Institute-kona 75-184 Hualalai Rd Ste 100-101 Kailua Kona HI 96740-1719 Ph: (805) 975-7463 |
| NPI Number | 1720697931 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 10/26/2020 |
| Medicare PECOS PAC ID | 2769893353 |
|---|---|
| Medicare Enrollment ID | O20201203001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720697931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nathan P Tomita |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255312401 PECOS PAC ID: 5698758340 Enrollment ID: I20120803000218 |
| Provider Name | Heather Hokulani Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972849917 PECOS PAC ID: 0345493482 Enrollment ID: I20130123000404 |
| Provider Name | Gina Puen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679834741 PECOS PAC ID: 9830334168 Enrollment ID: I20130314000272 |
| Provider Name | Kelly M Marshall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295094662 PECOS PAC ID: 3779809728 Enrollment ID: I20150310001123 |
| Provider Name | Amr El-sergany |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639484603 PECOS PAC ID: 0042523789 Enrollment ID: I20170821002185 |
| Provider Name | Jonelee Badua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578035671 PECOS PAC ID: 7618218397 Enrollment ID: I20190405001176 |
| Provider Name | Ali Yasser El Sergany |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871650002 PECOS PAC ID: 8729413943 Enrollment ID: I20200116001854 |
| Provider Name | Cole Koichi Nishikawa |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245611912 PECOS PAC ID: 5496184582 Enrollment ID: I20200413001230 |
| Provider Name | Nathan K Itoga |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366880098 PECOS PAC ID: 1850715749 Enrollment ID: I20200715002121 |
| Provider Name | Cherryl A Menapace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073028981 PECOS PAC ID: 7416219779 Enrollment ID: I20201026002637 |
| Provider Name | Robert Frykberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649295858 PECOS PAC ID: 4082623673 Enrollment ID: I20210804000908 |
| Provider Name | Horng J Lin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255395398 PECOS PAC ID: 8921062969 Enrollment ID: I20210811000771 |
| Provider Name | Richard Parsons |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396813283 PECOS PAC ID: 8426030099 Enrollment ID: I20211230001269 |
| Provider Name | Delaram Taghipour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407271521 PECOS PAC ID: 0042509648 Enrollment ID: I20220208001456 |
| Provider Name | James Antezana |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134174436 PECOS PAC ID: 4688684012 Enrollment ID: I20230125003298 |
| Provider Name | Robert Mcmurray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275971772 PECOS PAC ID: 8123358975 Enrollment ID: I20230307001268 |
| Provider Name | Nicole Yazdanpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417669532 PECOS PAC ID: 9436524576 Enrollment ID: I20230404000309 |
Nahale Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77-6403 Nalani St Unit 1, Kailua Kona, HI 96740 Phone: 808-376-1665 | |
West Hawaii Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 74-5214 Keanalehu Dr, Kailua Kona, HI 96740 Phone: 808-326-3883 | |
Ohana Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-5995 Kuakini Hwy, Suite 445, Kailua Kona, HI 96740 Phone: 808-326-2873 Fax: 808-326-9530 | |
Kona Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75-170 Hualalai Rd, Suite C110, Kailua Kona, HI 96740 Phone: 808-329-9211 Fax: 808-329-0009 | |
Police Family Chiropractic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75-167 Kalani St, #101, Kailua Kona, HI 96740 Phone: 808-326-9355 | |
Kona Aloha Dental Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy Ste B203, Kailua Kona, HI 96740 Phone: 808-329-6167 | |
Whidbey Island Public Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77-6349 Halawai Pl, Kailua Kona, HI 96740 Phone: 360-678-5151 Fax: 360-678-7676 |