| Paniolo Pediatric And Family Medicine Inc | |
|
64-1032 Mamalahoa Hwy Ste 204 Kamuela HI 96743-8441 | |
| (808) 887-6543 | |
| (808) 887-6294 |
| Full Name | Paniolo Pediatric And Family Medicine Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 64-1032 Mamalahoa Hwy Ste 204, Kamuela, Hawaii |
| Authorized Official Name and Position | Brett C. Ferguson (PRESIDENT) |
| Authorized Official Contact | 8088876543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paniolo Pediatric And Family Medicine Inc Po Box 6149 Kamuela HI 96743-6149 Ph: (808) 887-6543 | Paniolo Pediatric And Family Medicine Inc 64-1032 Mamalahoa Hwy Ste 204 Kamuela HI 96743-8441 Ph: (808) 887-6543 |
| NPI Number | 1053812990 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 2264796317 |
|---|---|
| Medicare Enrollment ID | O20180426000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053812990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD18820 (Hawaii) | Secondary |
| 208000000X | Pediatrics | MD16732 (Hawaii) | Primary |
| Provider Name | Peter E Gregg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437262300 PECOS PAC ID: 4789665456 Enrollment ID: I20040527001093 |
| Provider Name | Steven C Kaplan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598777633 PECOS PAC ID: 7719942135 Enrollment ID: I20041124000915 |
| Provider Name | Brett C Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902054885 PECOS PAC ID: 2567631724 Enrollment ID: I20150120000005 |
| Provider Name | Jon S Ishii |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558776252 PECOS PAC ID: 9638441637 Enrollment ID: I20170825003101 |
| Provider Name | Azriel Donius Dror |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992209977 PECOS PAC ID: 3971850330 Enrollment ID: I20210616002180 |
| Provider Name | Deanne Margaret Lim Bellosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740944610 PECOS PAC ID: 7618361569 Enrollment ID: I20220218001761 |
| Provider Name | Lisa Michelle Jeanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831139633 PECOS PAC ID: 3476552498 Enrollment ID: I20220609002051 |
| Provider Name | Chad Lm Ahia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417593831 PECOS PAC ID: 7517333586 Enrollment ID: I20230120000385 |
| Provider Name | Jamie Leigh Deuchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205328101 PECOS PAC ID: 1557613866 Enrollment ID: I20230606003392 |
Ron D Ah Loy Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-5188 Kinohou St, Kamuela, HI 96743 Phone: 808-887-0600 Fax: 808-887-6699 | |
Mango Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743 Phone: 808-769-5010 | |
North Hawaii Hospitalist Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1158 Mamalahoa Hwy Ste 27b, Kamuela, HI 96743 Phone: 808-887-2808 Fax: 808-887-2838 | |
Hamakua Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65-1190 Mamalahoa Hwy, Suites 1, 2, 3 And 12, Kamuela, HI 96743 Phone: 808-775-7204 Fax: 808-775-9404 | |
Kaiser Hawaii Mobile Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67-1185 Mamalahoa Hwy Unit A, Waimea Clinic, Kamuela, HI 96743 Phone: 808-881-4500 | |
Waikoloa Medical Arts, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-1035 Mamalahoa Hwy, Suite K, Kamuela, HI 96743 Phone: 808-883-9785 Fax: 808-883-9783 |