BARRY S SHITAMOTO (NPI# 1184701401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184701401 |
| Entity Type | Individual |
| Full Name | BARRY S SHITAMOTO |
| Credential | MD |
| Practice Address |
221 Mahalani St Wailuku HI 96793-2526 |
| Practice Telephone | 8082422065 |
| Practice Fax Number | 8082447246 |
| Mailing Telephone | 8082422065 |
| Mailing Fax Number | 8082447246 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| 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 |
| 1063025971 | Maui Trauma Surgeons LLP | Surgery | 221 Mahalani St, Wailuku, HI 96793-2526 | 2020-08-28 |
| 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 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124486766 | Nurish | Specialist | 122 Central Ave, Wailuku, HI 96793-1705 | 2016-02-10 |
| 1265831770 | R & L Nephrology LLC | Specialist | 105 Maui Lani Pkwy, Suite 100, Wailuku, HI 96793-2443 | 2014-08-20 |
| 1619317195 | Jasmine Rivera | Specialist | 489 Kopaa Pl, Wailuku, HI 96793 | 2013-06-28 |
| 1851677603 | Jennifer Carey | Specialist | 871 Kolu St Ste 103, Wailuku, HI 96793-1456 | 2011-10-25 |
| 1558655456 | Christina Dona Walker | Specialist | 40 N Market Street, Green Ti Boutique and Massage LLC, Wailuku, HI 96793 | 2011-06-08 |
| 1780832584 | Luz Patricia Medina Md Inc | Specialist | 99 S Market St Ste 103, Wailuku, HI 96793-2252 | 2008-09-04 |
| 1932379971 | Pacific Nephrology LLC | Specialist | 95 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2008-03-05 |
| 1770760662 | Cora Sayoko Tasaki | Specialist | 1885 Main St Ste 205, Wailuku, HI 96793-1827 | 2008-01-23 |
| 1548440274 | Steadfast Physical Therapy, Inc. | Specialist | 99 S Market St Ste 104, Wailuku, HI 96793-2252 | 2007-11-09 |
| 1992912257 | Sue Bourgeoishunt | Specialist | 35 Lunalilo Street, Unit 102, Wailuku, HI 96793 | 2007-05-17 |
| Find all providers in WAILUKU | ||||
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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.