HONOLULU VAMC (NPI# 1043554140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043554140 |
Entity Type | Organization |
Organization Name | HONOLULU VAMC |
Other Organization Name | EWA BEACH VA CBOC |
Practice Address |
91-2135 Fort Weaver Rd Suite 501 Ewa Beach HI 96706-1940 |
Mailing Address |
Po Box 94406 Cleveland OH 44101-4406 |
Practice Telephone | 7023413020 |
Mailing Telephone | 7023413020 |
Enumeration Date | 2012-11-15 |
Last Update Date | 2019-12-10 |
Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
EWA Beach VA CBOC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386035350 | Honolulu Vamc | Clinic/Center | 628-b Seventh Street, Lanai City, HI 96783-9678 | 2015-02-12 |
1568879526 | Honolulu Vamc | Clinic/Center | Marina Heights Business Park - Garapan, Mh-ii Building Suite 100 and 206, Saipan, MP 96950 | 2014-07-22 |
1962683474 | Honolulu Vamc | Clinic/Center | Fiatele Teo Army Reserve Building, Pago Pago, AS 96799-9992 | 2007-11-27 |
1518900232 | Honolulu Vamc | Clinic/Center | 4485 Pahee St, Suite 150, Lihue, HI 96766-2018 | 2006-06-13 |
1700826401 | Honolulu Vamc | Clinic/Center | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2006-06-08 |
1053367458 | Honolulu Vamc | Clinic/Center | 75-377 Hualalai Rd, Kailua Kona, HI 96740-9724 | 2006-05-26 |
1194116160 | Honolulu Vamc | Clinic/Center | 280 Home Olu Place, Kaunakakai, HI 96748-9998 | 2015-02-12 |
1831136746 | Honolulu Vamc | Clinic/Center | 203 Hoohana St, Suite 303, Kahului, HI 96732-2476 | 2006-05-31 |
1396791356 | Honolulu Vamc | Clinic/Center | 45 Mohouli St, Hilo, HI 96720-7210 | 2006-05-25 |
1831148386 | Honolulu Vamc | General Acute Care Hospital | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-05-10 |
Street Address |
91-2135 FORT WEAVER RD SUITE 501 |
City | EWA BEACH |
State | HI |
Zip Code | 96706-1940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457356164 | Leeward Radiation Oncology | Clinic/Center | 91-2135 Fort Weaver Rd, Ste B120, Ewa Beach, HI 96706-1929 | 2005-06-17 |
1427453695 | Richard Himmelmann Jr. | Acupuncturist | 91-2135 Fort Weaver Rd, #150, Ewa Beach, HI 96706-1940 | 2014-10-29 |
1629471834 | Naomi Fukuda | Registered Nurse | 91-2135 Fort Weaver Rd, Suite 180, Ewa Beach, HI 96706-3607 | 2014-10-01 |
1356777874 | Carrie Hanae Shklov | Social Worker | 91-2135 Fort Weaver Rd, #501, Ewa Beach, HI 96706-1940 | 2013-09-16 |
1104170935 | Brian W Kelley | Clinical Neuropsychologist | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-10-31 |
1306051834 | Scott Sadamu Morioka | Physical Medicine & Rehabilitation | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-05-10 |
1184779217 | Carl F Hodel | Emergency Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-01-25 |
1649338294 | Eva Shear | Physician Assistant | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-12-05 |
1982780367 | Tai-yuan David Lin | Pathology | 91-2135 Fort Weaver Rd, #300, Ewa Beach, HI 96706-1940 | 2006-10-28 |
1619989597 | Workstar Occupational Health Systems Inc | Preventive Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
Find all providers in zip 96706 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386035350 | Honolulu Vamc | Clinic/Center | 628-b Seventh Street, Lanai City, HI 96783-9678 | 2015-02-12 |
1518900232 | Honolulu Vamc | Clinic/Center | 4485 Pahee St, Suite 150, Lihue, HI 96766-2018 | 2006-06-13 |
1053367458 | Honolulu Vamc | Clinic/Center | 75-377 Hualalai Rd, Kailua Kona, HI 96740-9724 | 2006-05-26 |
1063881449 | Spark Matsunaga Va Medical Center | Clinic/Center | 459 Patterson Road, Honolulu, HI 96819 | 2015-09-16 |
1194116160 | Honolulu Vamc | Clinic/Center | 280 Home Olu Place, Kaunakakai, HI 96748-9998 | 2015-02-12 |
1639515679 | Dept of Veterans Affairs | Clinic/Center | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2013-05-17 |
1578653127 | Ken C. Arakawa Md Inc. | Clinic/Center | 1329 Lusitana St Ste 206, Honolulu, HI 96813-2411 | 2006-10-13 |
1831136746 | Honolulu Vamc | Clinic/Center | 203 Hoohana St, Suite 303, Kahului, HI 96732-2476 | 2006-05-31 |
1396791356 | Honolulu Vamc | Clinic/Center | 45 Mohouli St, Hilo, HI 96720-7210 | 2006-05-25 |
1962453522 | Veterans Administration Pacific Island Health Care System | Clinic/Center | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-05-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.