| Queen's Development Corporation & Subsidiaries | |
|
599 Farrington Hwy Ste 201 Kapolei HI 96707-2028 | |
| (808) 674-9500 | |
| (808) 674-9436 |
| Full Name | Queen's Development Corporation & Subsidiaries |
|---|---|
| Speciality | Clinic/Center |
| Location | 599 Farrington Hwy Ste 201, Kapolei, Hawaii |
| Authorized Official Name and Position | Leslie Chinen (VICE PRESIDENT) |
| Authorized Official Contact | 8085358709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen's Development Corporation & Subsidiaries 1099 Alakea St Ste 1100 Honolulu HI 96813-4512 Ph: (808) 535-8737 | Queen's Development Corporation & Subsidiaries 599 Farrington Hwy Ste 201 Kapolei HI 96707-2028 Ph: (808) 674-9500 |
| NPI Number | 1679768352 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 03/24/2008 |
| Medicare PECOS PAC ID | 7810912292 |
|---|---|
| Medicare Enrollment ID | O20071030000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679768352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vincent Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043259047 PECOS PAC ID: 6305824780 Enrollment ID: I20040712000921 |
| Provider Name | Jenny M N Uramoto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497862783 PECOS PAC ID: 6305882176 Enrollment ID: I20050701000177 |
| Provider Name | Edward E Okimoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104939289 PECOS PAC ID: 5395828255 Enrollment ID: I20080215000076 |
| Provider Name | Melanie N Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104910686 PECOS PAC ID: 7012044522 Enrollment ID: I20100414000763 |
| Provider Name | Summer R Teruya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578679668 PECOS PAC ID: 1951392554 Enrollment ID: I20100816000904 |
| Provider Name | Vanessa M Agsalda-rosenbush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376613158 PECOS PAC ID: 9234263054 Enrollment ID: I20100816000939 |
| Provider Name | Stuart S Nakamoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245348747 PECOS PAC ID: 8123919818 Enrollment ID: I20100924001116 |
| Provider Name | Randall Suzuka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053483099 PECOS PAC ID: 9537070867 Enrollment ID: I20101111001250 |
| Provider Name | Irene Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548550114 PECOS PAC ID: 7911177696 Enrollment ID: I20130306000167 |
| Provider Name | Florian Sattelmacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366763351 PECOS PAC ID: 9537307640 Enrollment ID: I20130531000450 |
| Provider Name | Masahisa Amano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881905388 PECOS PAC ID: 3274773338 Enrollment ID: I20130712000571 |
| Provider Name | Marie K Yamamotoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487732111 PECOS PAC ID: 2567365646 Enrollment ID: I20140721001985 |
| Provider Name | Bradlee K Sako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821309584 PECOS PAC ID: 6901033794 Enrollment ID: I20141104002261 |
| Provider Name | Maile I Alcos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225418759 PECOS PAC ID: 3375850811 Enrollment ID: I20150916002463 |
| Provider Name | Mario A Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981889 PECOS PAC ID: 3678898368 Enrollment ID: I20160831001921 |
| Provider Name | Benjamin Jackson Roney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962846311 PECOS PAC ID: 5799093563 Enrollment ID: I20161028002192 |
| Provider Name | Johanna Christa I Javier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912386715 PECOS PAC ID: 6305196130 Enrollment ID: I20180829000969 |
| Provider Name | Emily Levitt-gopie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992006217 PECOS PAC ID: 4981859915 Enrollment ID: I20190207002297 |
| Provider Name | Gypsy F Paar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477592871 PECOS PAC ID: 5092796193 Enrollment ID: I20190607001658 |
| Provider Name | Derek I Mito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558335042 PECOS PAC ID: 7214900562 Enrollment ID: I20191029000427 |
| Provider Name | George T Kato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043864416 PECOS PAC ID: 6103258033 Enrollment ID: I20191114003628 |
| Provider Name | Audrey Arita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612310 PECOS PAC ID: 7416379516 Enrollment ID: I20200618001376 |
| Provider Name | Yusuke Kobayashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518495324 PECOS PAC ID: 6709209307 Enrollment ID: I20200714002651 |
| Provider Name | Kristen Ashtley Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215541644 PECOS PAC ID: 2365851748 Enrollment ID: I20210514002395 |
| Provider Name | Jeremiah B Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922414721 PECOS PAC ID: 9133414717 Enrollment ID: I20210524002741 |
| Provider Name | Sarah R Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710259445 PECOS PAC ID: 7113176140 Enrollment ID: I20210526001272 |
| Provider Name | Paul Heiderscheidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548351927 PECOS PAC ID: 9931123866 Enrollment ID: I20210723001099 |
| Provider Name | Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982802617 PECOS PAC ID: 3274609292 Enrollment ID: I20210831002892 |
Keiki Korner Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Kamokila Blvd, Suite 197, Kapolei, HI 96707 Phone: 808-674-9600 Fax: 808-674-9700 | |
La Health Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Kunehi St Apt 103, Kapolei, HI 96707 Phone: 808-751-1358 | |
Kapolei Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 590 Farrington Hwy, Suite 526a, Kapolei, HI 96707 Phone: 808-674-2930 | |
Waianae District Comprehensive Health And Hospital Board, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 599 Farrington Hwy, Bldg#1, Unit 100, Kapolei, HI 96707 Phone: 808-697-3300 Fax: 808-697-3687 | |
The Kids Doc, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 579 Farrington Hwy, Ste 203, Kapolei, HI 96707 Phone: 808-674-2555 Fax: 808-674-2988 | |
Island Functional Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Lauwiliwili St Ste 12, Kapolei, HI 96707 Phone: 808-465-3000 Fax: 808-465-3574 | |
Coralie A.k. Texeira, M.d. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707 Phone: 808-670-6458 |