EAST MAUI MEDICAL CLINIC, LLP (NPI# 1346784139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346784139 |
Entity Type | Organization |
Organization Name | EAST MAUI MEDICAL CLINIC, LLP |
Other Organization Name | PUEO FAMILY MEDICINE |
Practice Address |
4950 Uakea Road Unit 2 Hana HI 96713-0278 |
Mailing Address |
Po Box 278 Hana HI 96713-0278 |
Practice Telephone | 8082488840 |
Practice Fax Number | 8082488839 |
Mailing Telephone | (808) 248-8840 |
Mailing Fax Number | 8082488839 |
Enumeration Date | 2016-12-13 |
Last Update Date | 2018-03-17 |
Authorized Official Name | DR. CURTIS BEKKUM (OWNER/PROVIDER) |
Authorized Official Telephone | 8088561735 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD17180 | HI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI | 1699899500 | 01 |
Other Name | Type Code |
---|---|
Pueo Family Medicine | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1120 Makawao Ave Ste A, Makawao, HI 967689448 | 8085732222 | 8085732224 |
Street Address |
4950 UAKEA ROAD UNIT 2 |
City | HANA |
State | HI |
Zip Code | 96713-0278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891246815 | Lightworker Health, LLC | Nurse Practitioner | 45 Alalele, Hana, HI 96713 | 2016-10-14 |
1932477999 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 4111 Hana Hwy, Maui-fgc-hana, Hana, HI 96713 | 2011-12-06 |
1215225750 | Robert W Leonard | Dentist | 4590 Hana Hwy., Hana Health, Hana, HI 96713 | 2011-07-19 |
1912221151 | Ohana Makamae, Inc. | Community/Behavioral Health | 39 Keanini St, Hana, HI 96713 | 2010-03-17 |
1124357744 | Ric Douglas Stark | Physical Therapist | 4351 Hana Highway, Hana, HI 96713 | 2009-12-10 |
1437486024 | Ohana Makamae Inc | Voluntary or Charitable | 39 Keanini Street, Hana, HI 96713 | 2009-11-03 |
1003067901 | Joerg Paula | Specialist | 27 Alau Street, Hana, HI 96713 | 2008-10-09 |
1306993878 | Brian Robert Smith | Chiropractor | 4216 Hana Hwy, Hana, HI 96713 | 2007-01-05 |
1982632253 | Sky Pierce | Specialist/Technologist | 4111 Hana Hwy., Hana, HI 96713 | 2006-06-28 |
1730123365 | Paul Adam Kaiwi Jr. | General Practice | 1501 Uakea Rd., Hana, HI 96713 | 2006-06-15 |
Find all providers in zip 96713 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700498680 | Blane K. Chong, Md Sports Medicine and Family Practice | Clinic/Center | 3221 Waialae Ave Ste 390, Honolulu, HI 96816-5850 | 2020-08-20 |
1497371348 | Vinson K Diep Md Inc | Clinic/Center | 1319 Punahou St Ste 1190, Honolulu, HI 96826-1089 | 2020-06-16 |
1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
1093348161 | Amh Series II, Hi, LLC | Clinic/Center | 415 Uluniu St Ste D, Kailua, HI 96734-2503 | 2020-02-18 |
1417592254 | Nancy S. Clarke, M.d. LLC | Clinic/Center | 98-211 Pali Momi St Ste 800, Aiea, HI 96701-4370 | 2019-11-15 |
1972071538 | Foundaton Research | Clinic/Center | 1314 S King St Ste 653, Honolulu, HI 96814-1979 | 2018-11-12 |
1962929398 | Mark T. Kuge,md,inc | Clinic/Center | 1481 S King St Ste 310, Honolulu, HI 96814-2684 | 2017-08-25 |
1487102877 | Ka Wai Ola Medical Clinic LLC | Clinic/Center | 16-590 Old Volcano Rd, Ste. A, Keaau, HI 96749-8158 | 2016-09-14 |
1790230480 | Emi Ota, M.d., Inc. | Clinic/Center | 850 W Hind Dr Ste 205, Honolulu, HI 96821-1845 | 2016-08-23 |
1962853317 | Sheareen Gedayloo Md LLC | Clinic/Center | 1028 Kinoole St Ste 101, Hilo, HI 96720-3800 | 2016-06-27 |
Find all providers with the same taxonomy |
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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.