LEONETTE STEWART


Address: 4348 Waialae Ave # 502, Honolulu, HI 96816-5767
Phone: 8085512269

LEONETTE STEWART (NPI# 1265980700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265980700
Entity Type Individual
Full Name LEONETTE STEWART
Credential RDMS, BSRT
Practice Address 4348 Waialae Ave # 502
Honolulu
HI 96816-5767
Practice Telephone 8085512269
Mailing Telephone 8085512269
Enumeration Date 2016-09-13
Last Update Date 2016-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
Technologists, Technicians & Other Technical Service Providers
N 2471V0105X Radiologic Technologist
Specialization: Vascular Sonography
Technologists, Technicians & Other Technical Service Providers
N 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
HI HAWAII MEDICAL SERVICES ASSOCIATION 5241-5 01

Office Location

Street Address 4348 WAIALAE AVE # 502
City HONOLULU
State HI
Zip Code 96816-5767

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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730487349 Paradise Mobile Imaging, LLC Radiologic Technologist 98-500 Koauka Loop, 7f, Aiea, HI 96701-4567 2011-03-06
1558683474 Davelynn Kuuleinani Defries Radiologic Technologist 98-500 Koauka Loop Apt 7f, Aiea, HI 96701-4590 2010-02-19
1720240088 Terri L Foy Radiologic Technologist 2883b Kalihiwai Rd, Kilauea, HI 96754-5200 2008-06-27
1245440494 Ofelia L Loo Radiologic Technologist 94-210 Pupukahi St, Suite 102, Waipahu, HI 96797-2649 2007-05-23
1912170473 Pacific Imaging Services Radiologic Technologist 94-210 Pupukahi St, Suite # 102, Waipahu, HI 96797-2649 2008-04-05

Competitor

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City HONOLULU
Zip Code 96816

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Dataset Information

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.

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