MAUI TRAUMA SURGEONS LLP (NPI# 1063025971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063025971 |
| Entity Type | Organization |
| Organization Name | MAUI TRAUMA SURGEONS LLP |
| Practice Address |
221 Mahalani St Wailuku HI 96793-2526 |
| Mailing Address |
1266 Kilou St Wailuku HI 96793-9751 |
| Practice Telephone | 8082449056 |
| Practice Fax Number | 8084396060 |
| Mailing Telephone | 8089770955 |
| Mailing Fax Number | 8084396060 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | DR. STEPHANIE YAN (MEMBER PHYSICIAN) |
| Authorized Official Telephone | 8089770955 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 Maui Lani Pkwy, Wailuku, HI 967932416 | 8084425700 |
| Street Address |
221 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987664 | Randy W Stark | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2005-07-21 |
| 1366081465 | Elizabeth Ebelhar | Speech-Language Pathologist | 221 Mahalani St, Wailuku, HI 96793-2526 | 2020-01-06 |
| 1134771041 | Moana Imaging Associates LLC | Radiology | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-07-11 |
| 1013573823 | Miriam Berchuk | Anesthesiology | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-05-16 |
| 1386103679 | Cynthia Meyer Tamayo | Physical Therapist | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-03-15 |
| 1841763455 | Sabrina Wilson | Social Worker | 221 Mahalani St, Wailuku, HI 96793-2526 | 2019-01-07 |
| 1326531773 | Maui Memorial Emergency Medical Associates Inc | Emergency Medicine | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-06-11 |
| 1558850057 | Jessica Davis | Social Worker | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-05-09 |
| 1508369422 | Danielle Monique Aubert-anderson | Social Worker | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-03-16 |
| 1740783273 | Jenean Noelani Garcia | Registered Nurse | 221 Mahalani St, Wailuku, HI 96793-2526 | 2018-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650441 | Zacarias Asuncion Md Facs | Surgery | 93 Pii Mauna St, Pukalani, HI 96788 | 2018-12-07 |
| 1548527823 | Sho Furuta | Surgery | 550 S Beretania St Ste 509, Honolulu, HI 96813-2496 | 2012-04-11 |
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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.