EAST HAWAII MEDICAL GROUP (NPI# 1316595556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316595556 |
| Entity Type | Organization |
| Organization Name | EAST HAWAII MEDICAL GROUP |
| Practice Address |
1190 Waianuenue Ave Hilo HI 96720-2089 |
| Practice Telephone | 8089323428 |
| Practice Fax Number | 8089744746 |
| Mailing Telephone | 8089323428 |
| Mailing Fax Number | 8089744746 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | MR. DAN BRINKMAN (CEO) |
| Authorized Official Telephone | 8089323101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1190 WAIANUENUE AVE |
| City | HILO |
| State | HI |
| Zip Code | 96720-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672388 | Ninette Hart | Anesthesiology | 1190 Waianuenue Ave, Hilo, HI 96720-2020 | 2005-07-07 |
| 1144835018 | Chayata Wongpojanee Otsuka | Nurse Practitioner | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-09-08 |
| 1447889761 | James Garard Finney | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-07 |
| 1255960159 | Shelley Kirkham | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2094 | 2020-04-03 |
| 1265061352 | Adrianne Haack | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-02 |
| 1154959245 | Laura Hernandez | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-01 |
| 1083242192 | Andrew Chang | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-04-01 |
| 1174159834 | Island Professional Anesthesia LLC | Anesthesiology | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-03-13 |
| 1336789874 | Kau Hospital | Clinic/Center | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-01-13 |
| 1417593831 | Chad Lm Ahia | Student in an Organized Health Care Education/Training Program | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2019-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164879649 | Patrick Young | General Practice | 400 Hualani St Ste 196, Hilo, HI 96720-4389 | 2016-05-16 |
| 1801858295 | Stephen A Warsh | General Practice | 45 Mohouli St, Hilo, HI 96720-4145 | 2006-04-03 |
| 1336318674 | Roy M Koga M D Inc | General Practice | 670 Ponahawai St Ste 120, Hilo, HI 96720-2660 | 2008-02-20 |
| 1174618094 | Robert W. Goodwin | General Practice | 45 Mohouli St, Hilo, HI 96720-7210 | 2006-10-04 |
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|---|---|---|---|---|
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| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1023517968 | Woundtech of Hawaii, Inc | General Practice | 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 | 2018-02-06 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1205216728 | William Garrett Holder Jr. | General Practice | Schofield Barracks Army Health Clinic Glennan Street, Bldg 677, Schofield Barracks, HI 96787 | 2015-06-01 |
| 1487050241 | Coralie A.k. Texeira, M.d. LLC | General Practice | 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707-2232 | 2014-11-06 |
| 1396162566 | Virginiia Emily Zimmerman | General Practice | 64-732 Lauwai Rd, Kamuela, HI 96743-7396 | 2014-03-25 |
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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.