DR. HOLLY MARIE POAG (NPI# 1376755330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376755330 |
| Entity Type | Individual |
| Full Name | DR. HOLLY MARIE POAG |
| Credential | D.O. |
| Practice Address |
2829 Ala Kalanikaumaka St. Ste.b201 Koloa HI 96756 |
| Mailing Address |
Po Box 669 Atten: Rhonelle C Aceret Waimea HI 96796-0669 |
| Practice Telephone | 8087420999 |
| Practice Fax Number | 8087420990 |
| Mailing Telephone | 8082402723 |
| Mailing Fax Number | 8083389420 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | DOS-1820 | HI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 5101016537 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2829 ALA KALANIKAUMAKA ST. STE.B201 |
| City | KOLOA |
| State | HI |
| Zip Code | 96756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005712 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikaumaka St, Ste B-201, Koloa, HI 96756 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| 1285054965 | Leia Makaneole | Massage Therapist | 2555a Ala Kinoiki Rd., Koloa, HI 96756 | 2014-04-22 |
| 1043549637 | Shanti Kay Manzano | Psychologist | 5476 Koloa Road, 2f, Koloa, HI 96756 | 2009-12-10 |
| 1467627075 | Margaret Bubon Smith | Counselor | 4055 Aka Rd, Koloa, HI 96756 | 2008-04-24 |
| 1871611558 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Koloa Clinic, 5371 Koloa Rd, Koloa, HI 96756 | 2007-03-27 |
| 1548330657 | Joseph M. Murray | Family Medicine | 5371 Koloa Rd, Koloa, HI 96756 | 2006-11-08 |
| 1164413696 | Daniel S Choi | Anesthesiology | 3176 Poipu Rd, Koloa, HI 96756 | 2005-11-03 |
| 1801980339 | Edward Franklin De Deo | Chiropractor | 5470 Koloa Rd 2d, Koloa, HI 96756-0388 | 2006-10-02 |
| 1821467796 | Poipu Md, LLC | Clinic/Center | 5485 Koloa Rd, Suite 1652, Koloa, HI 96756-3001 | 2015-09-21 |
| Find all providers in zip 96756 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053424887 | Joseph W. Burris Jr. | Emergency Medicine | 2585 Waho St, Koloa, HI 96756-9550 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808778 | Frederick Martin Burkle Jr. | Emergency Medicine | 452 Iana St, Kailua, HI 96734-3404 | 2017-12-30 |
| 1457898009 | Iuc Holdings Inc | Emergency Medicine | 98-199 Kamehameha Hwy, Building F, Aiea, HI 96701-4811 | 2017-01-20 |
| 1871047191 | Iuc Holdings Inc | Emergency Medicine | 400 Keawe St, Honolulu, HI 96813-5199 | 2016-08-04 |
| 1518385236 | Eric S Kiechle | Emergency Medicine | 770 Kapiolani Blvd, Suite 705, Honolulu, HI 96813-5241 | 2014-03-31 |
| 1033465547 | Daniel James Hutchens | Emergency Medicine | 1301 Punchbowl St # 1, Honolulu, HI 96813-2402 | 2012-08-02 |
| 1073870747 | David Dantes | Emergency Medicine | 4320 Une Pl, Haiku, HI 96708-5368 | 2012-04-18 |
| 1134413735 | Jamie Heitzinger | Emergency Medicine | 1300 Punchbowl St, Honolulu, HI 96813 | 2011-06-01 |
| 1437468592 | Kyle Coker | Emergency Medicine | 407 Uluniu St # 411, Kailua, HI 96734-2519 | 2010-10-06 |
| 1578890984 | Linda Rosen | Emergency Medicine | 3672 Kilauea Ave., Honolulu, HI 96816 | 2009-11-05 |
| 1285877787 | Shauna Sunita Conry | Emergency Medicine | 1308 Akumu St, Kailua, HI 96734-4152 | 2009-04-13 |
| 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.