| Waimanalo Health Center | |
|
41-1347 Kalanianaole Hwy Waimanalo HI 96795-1247 | |
| (808) 954-7107 | |
| (808) 259-6449 |
| Full Name | Waimanalo Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 41-1347 Kalanianaole Hwy, Waimanalo, Hawaii |
| Authorized Official Name and Position | Mary Oneha (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8089547107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waimanalo Health Center 41-1347 Kalanianaole Hwy Waimanalo HI 96795-1247 Ph: (808) 954-7107 | Waimanalo Health Center 41-1347 Kalanianaole Hwy Waimanalo HI 96795-1247 Ph: (808) 954-7107 |
| NPI Number | 1780738005 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 8527029198 |
|---|---|
| Medicare Enrollment ID | O20041026001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780738005 | NPI | - | NPPES |
| 049587 | Medicaid | HI | |
| 00C0238901 | Other | HI | BLUES - CUMMINGS |
| 00D0094351 | Other | HI | HMSA PPO - BHATTACHARYYA |
| 00A0080927 | Other | HI | BLUES - CHAN |
| 00D0094351 | Other | HI | BLUES - BHATTACHARYYA |
| 04958701 | Medicaid | HI | |
| 0054794522 | Medicaid | HI | |
| 0000212407 | Other | HI | BLUES - HATAKEYAMA |
| 0000228100 | Medicaid | HI | |
| 0007253302 | Medicaid | HI | |
| 0055795200 | Medicaid | HI | |
| 00D0245664 | Other | HI | HMSA - AGULLANA |
| 0006095000 | Medicaid | HI | |
| 00D0245664 | Other | HI | BLUES - AGULLANA |
| Provider Name | Robert K Aki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710083944 PECOS PAC ID: 3971491556 Enrollment ID: I20040420000217 |
| Provider Name | Anthony Guerrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770536070 PECOS PAC ID: 0547250680 Enrollment ID: I20040512001256 |
| Provider Name | Patricia G Avila |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568400372 PECOS PAC ID: 8022909019 Enrollment ID: I20050106000900 |
| Provider Name | Isaac J Kaopua |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104982768 PECOS PAC ID: 3274558838 Enrollment ID: I20051012000775 |
| Provider Name | Kenneth K Kau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528048360 PECOS PAC ID: 8426078148 Enrollment ID: I20051128000067 |
| Provider Name | Christina K Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538244058 PECOS PAC ID: 9133135957 Enrollment ID: I20060302000247 |
| Provider Name | Bliss Ek Kaneshiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194811349 PECOS PAC ID: 2860418092 Enrollment ID: I20070823000432 |
| Provider Name | Denise Young-ajose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033162854 PECOS PAC ID: 6507879376 Enrollment ID: I20081006000582 |
| Provider Name | Catherine J Tsang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154525368 PECOS PAC ID: 5395891725 Enrollment ID: I20090925000396 |
| Provider Name | Darcy Sf Ing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821036252 PECOS PAC ID: 8921029240 Enrollment ID: I20120213000728 |
| Provider Name | Isidro P Hermosura |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831345149 PECOS PAC ID: 3678746112 Enrollment ID: I20130111000335 |
| Provider Name | Melissa-anne M Wong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750608048 PECOS PAC ID: 6608020672 Enrollment ID: I20130129000547 |
| Provider Name | Leigh Ziegler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942639398 PECOS PAC ID: 9335376060 Enrollment ID: I20131230000160 |
| Provider Name | Christina Economos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861634412 PECOS PAC ID: 9638306384 Enrollment ID: I20131230000797 |
| Provider Name | Tracee Y Suetsugu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194036012 PECOS PAC ID: 5395964670 Enrollment ID: I20140918001350 |
| Provider Name | Tammie N Perreira |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093031262 PECOS PAC ID: 7911229497 Enrollment ID: I20141212000148 |
| Provider Name | Joshua Warren Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770843674 PECOS PAC ID: 3476873613 Enrollment ID: I20151221000395 |
| Provider Name | Amy V Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952723843 PECOS PAC ID: 0941423644 Enrollment ID: I20180220002210 |
| Provider Name | David M Moskowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063585503 PECOS PAC ID: 0749333037 Enrollment ID: I20190108003581 |
| Provider Name | Ryan K Hironaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609358662 PECOS PAC ID: 4587901251 Enrollment ID: I20190204001623 |
| Provider Name | Leigh Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942639398 PECOS PAC ID: 9335376060 Enrollment ID: I20200218002788 |
| Provider Name | Maria O Moreno-chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104859263 PECOS PAC ID: 0547554800 Enrollment ID: I20210309000785 |
| Provider Name | Durany Mohammed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285128686 PECOS PAC ID: 4688067747 Enrollment ID: I20220214000508 |
| Provider Name | Joseph T Pummer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376998799 PECOS PAC ID: 8527353168 Enrollment ID: I20220818003595 |
| Provider Name | Nicole A Koochi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093308173 PECOS PAC ID: 0345616272 Enrollment ID: I20221018003273 |
| Provider Name | Van-anh La |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881199875 PECOS PAC ID: 7113341645 Enrollment ID: I20230117002201 |
| Provider Name | Jennifer Malia Lyman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700449584 PECOS PAC ID: 8820454945 Enrollment ID: I20230516001850 |
| Provider Name | Shana Lynn Sniffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956162 PECOS PAC ID: 6002815024 Enrollment ID: I20230525001967 |
| Provider Name | Jennifer Conway |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508526757 PECOS PAC ID: 9931586690 Enrollment ID: I20230908000963 |
| Provider Name | Anthony Sung Gil Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801906813 PECOS PAC ID: 5991007676 Enrollment ID: I20230928003528 |
| Provider Name | Brett Honda |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073053161 PECOS PAC ID: 4183079213 Enrollment ID: I20231010002998 |
| Provider Name | Kalamaoka Aina Ks Niheu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487756235 PECOS PAC ID: 5294827085 Enrollment ID: I20240709004249 |
| Provider Name | Jin Song Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508492448 PECOS PAC ID: 7719359231 Enrollment ID: I20240805002014 |
| Provider Name | Edy Kaleimomi Gomes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336717537 PECOS PAC ID: 1658811799 Enrollment ID: I20240904002695 |
| Provider Name | Aaron Sunil Thaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114026184 PECOS PAC ID: 1658804307 Enrollment ID: I20241101002372 |
| Provider Name | Stephen T Keithahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235157827 PECOS PAC ID: 8426144528 Enrollment ID: I20241104001036 |
| Provider Name | Tatiana Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821827320 PECOS PAC ID: 0143750349 Enrollment ID: I20250203002689 |
| Provider Name | Kyana-lei Keiko Yamada |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326603374 PECOS PAC ID: 8820528953 Enrollment ID: I20250205000658 |
Waimanalo Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795 Phone: 808-259-7949 Fax: 808-259-6449 |