MRS. SUSAN S STEWART (NPI# 1194728139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194728139 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN S STEWART |
| Other Name | MISS SUSAN J SWEENEY |
| Credential | P.A.-C |
| Practice Address |
Maui Medical Group 2180 Main Street Wailuku HI 96793 |
| Practice Telephone | 8082426464 |
| Practice Fax Number | 8082440603 |
| Mailing Telephone | 8082426464 |
| Mailing Fax Number | 8082440603 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
AMD-974 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
003587 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00211373D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992245203 | Susan Stewart | Marriage & Family Therapist | 9974 Molly Pitcher Hwy Ste 4, Shippensburg, PA 17257-8503 | 2017-03-06 |
| 1609227685 | Susan E. Stewart | Acupuncturist | 320 Third Street, Sutie B, Neptune Beach, FL 32266 | 2016-06-30 |
| 1457708869 | Susan Stewart | Pharmacist | 6509 Grand Ave, Gurnee, IL 60031-1643 | 2016-05-16 |
| 1588974026 | Susan Elizabeth Stewart | Internal Medicine | 3 St. Elizabeth's Blvd., Ste. 2800, O'fallon, IL 62269-1099 | 2010-10-18 |
| 1235374240 | Susan Ann Stewart | Nurse Practitioner | 2631 Federal St, East Camden Health Center, Camden, NJ 08105-1935 | 2008-12-04 |
| 1467629915 | Susan Roach Stewart | Speech-Language Pathologist | 13555 Streamside Drive, Lake Oswego, OR 97035 | 2008-05-14 |
| 1386839868 | Susan Ray Stewart | Custodial Care Facility | 4159 Brandon Ln, Burlington, NC 27217-7755 | 2007-09-07 |
| 1679647309 | Susan Montagu Stewart | Physical Therapist | 300 Springhouse Lane, Collegeville, PA 19426 | 2006-11-17 |
| 1558471532 | Susan Stewart | Physical Therapy Assistant | 1603 Decatur Hwy, Ste 103, Gardendale, AL 35071-2302 | 2006-08-30 |
| 1124653738 | Susan May Stewart | Speech-Language Pathologist | 3615 Spicer Dr Se, Albany, OR 97322-7043 | 2020-03-04 |
| Street Address |
MAUI MEDICAL GROUP 2180 MAIN STREET |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1194061549 | Stephanie Manzella | Physician Assistant | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2012-12-12 |
| 1972854099 | Tim Taikyo Kaneda | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2012-09-28 |
| 1326312877 | Reshma Lalwani | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2012-03-01 |
| 1003050261 | Arthur Ruben Sakakihara - Chavarria | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2009-04-30 |
| 1669637807 | Jessica Kiersten Mattson | Physician Assistant | 24 N Church St, 403, Wailuku, HI 96793-1680 | 2008-07-28 |
| 1548420490 | Leonard Jay Ferguson | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1666 | 2008-06-13 |
| 1629169628 | Lisa Virginia Kemp | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-09-27 |
| 1780785618 | Stephen Koshel | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-09-25 |
| 1487623369 | Kazue T Johansen | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-03-14 |
| 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.