KAIULANI WILSON MORIMOTO (NPI# 1124011408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124011408 |
| Entity Type | Individual |
| Full Name | KAIULANI WILSON MORIMOTO |
| Other Name | PAMELA KAIULANI WILSON |
| Credential | MD FACS |
| Practice Address |
12615 E Mission Ave Ste 105 Spokane Valley WA 99216-1047 |
| Practice Telephone | 5093154415 |
| Practice Fax Number | 5093158204 |
| Mailing Telephone | 5093154415 |
| Mailing Fax Number | 5093158204 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD00036728 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8394512 | 05 |
| Street Address |
12615 E MISSION AVE STE 105 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352410 | Kai Morimoto Md Pllc | Plastic Surgery | 12615 E Mission Ave, Suite 105, Spokane Valley, WA 99216-3060 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146734 | Chesnut Institute of Cosmetic & Reconstructive Surgery | Plastic Surgery | 510 S Cowley St Ste 201, Spokane, WA 99202-1332 | 2020-02-20 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1144725649 | Cmn Industries | Plastic Surgery | 145 Lilly Rd Ne Ste 101, Olympia, WA 98506-5028 | 2018-03-27 |
| 1477071041 | Morgan Warwick Evans | Plastic Surgery | Division of Craniofacial and Plastic Surgery, 4800 Sand Point Way, Ne, Ms Ob.9.520, Seattle, WA 98105-0371 | 2017-09-05 |
| 1083161046 | Robert Knight | Plastic Surgery | 3837 Aurora Ave N, Apt 2, Seattle, WA 98103-2720 | 2016-09-07 |
| 1790134799 | Rmp Logic LLC | Plastic Surgery | 7202 Saint Andrews Ln Se, Snoqualmie, WA 98065-9093 | 2016-06-09 |
| 1275971822 | Eugene Wilbert Goertzen | Plastic Surgery | 1217 Treemont Way Se, Fall City, WA 98024-7425 | 2013-06-05 |
| 1023451317 | Sarah Layne Crandall | Plastic Surgery | 5005 Main St Ste 125, Tacoma, WA 98407-3177 | 2013-04-17 |
| 1184969289 | Robert John Kropp | Plastic Surgery | 760 Overlake Dr E, Medina, WA 98039-4817 | 2012-11-30 |
| 1326390303 | Paul Luu Ps Inc | Plastic Surgery | 5420 Rainier Ave. S, Seattle, WA 98118 | 2012-10-15 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
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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.