| Robert Mastroianni Md Inc | |
|
81 Makawao Ave Ste 25 Makawao HI 96768-8859 | |
| (808) 573-8900 | |
| (808) 572-3027 |
| Full Name | Robert Mastroianni Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 81 Makawao Ave Ste 25, Makawao, Hawaii |
| Authorized Official Name and Position | Susan E Mastroianni (OFFICE ADMINISTRATION) |
| Authorized Official Contact | 8085738900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Mastroianni Md Inc 81 Makawao Ave. Ste 25 Makawao HI 96768 Ph: (808) 573-8900 | Robert Mastroianni Md Inc 81 Makawao Ave Ste 25 Makawao HI 96768-8859 Ph: (808) 573-8900 |
| NPI Number | 1033240478 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0840239000 |
|---|---|
| Medicare Enrollment ID | O20050427000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033240478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert P Mastroianni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023107844 PECOS PAC ID: 3779579768 Enrollment ID: I20040423001062 |
| Provider Name | Daniel P Baston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336224229 PECOS PAC ID: 2163442872 Enrollment ID: I20051123000674 |
| Provider Name | Ann Craddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982823373 PECOS PAC ID: 4587717111 Enrollment ID: I20090729000944 |
| Provider Name | Liat Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781368 PECOS PAC ID: 4587946082 Enrollment ID: I20170118000680 |
| Provider Name | Lisa Herrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508346651 PECOS PAC ID: 0547500050 Enrollment ID: I20190320001480 |
| Provider Name | Jacob Wardach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265083018 PECOS PAC ID: 9638503048 Enrollment ID: I20191217003351 |
Pukalani Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 81 Makawao Ave Ste 100, Makawao, HI 96768 Phone: 808-573-8900 Fax: 808-573-7505 | |
Pueo Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120a Makawao Ave, Makawao, HI 96768 Phone: 808-573-2222 Fax: 808-573-2224 | |
Maui Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3681 Baldwin Ave Ste G101, Makawao, HI 96768 Phone: 808-283-5046 Fax: 844-965-9241 | |
Bridge Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120a Makawao Ave, Makawao, HI 96768 Phone: 808-573-7555 |