PACIFIC ENDOSCOPY CENTER LLC (NPI# 1417377649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417377649 |
| Entity Type | Organization |
| Organization Name | PACIFIC ENDOSCOPY CENTER LLC |
| Practice Address |
134 Puuhonu Way Hilo HI 96720-2066 |
| Mailing Address |
401 Commerce St Ste. 600 Nashville TN 37219-2446 |
| Practice Telephone | 8089693979 |
| Practice Fax Number | 8085315819 |
| Mailing Telephone | 6153456879 |
| Mailing Fax Number | 6156917512 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | DAVID W. HOLST (DIRECTOR) |
| Authorized Official Telephone | 6153456899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
FSOF-9 | HI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558753095 | Pacific Endoscopy Center LLC | Clinic/Center | 1401 S Beretania St Ste 200, Honolulu, HI 96814-1871 | 2015-02-20 |
| 1104246446 | Pacific Endoscopy Center LLC | Clinic/Center | 2226 Liliha St, Ste. 307, Honolulu, HI 96817-1600 | 2014-04-25 |
| Street Address |
134 PUUHONU WAY |
| City | HILO |
| State | HI |
| Zip Code | 96720-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831202787 | Gastroenterology Associates, Inc | Specialist | 134 Puuhonu Way, Hilo, HI 96720-2067 | 2006-08-16 |
| 1659444131 | The Endoscopy Center, LLC | Clinic/Center | 134 Puuhonu Way, Hilo, HI 96720-2067 | 2006-11-15 |
| 1225112469 | William A Hartman | Specialist | 134 Puuhonu Way, Hilo, HI 96720-2067 | 2006-10-24 |
| 1023192275 | Timothy C Jahraus | Specialist | 134 Puuhonu Way, Hilo, HI 96720-2067 | 2006-10-24 |
| 1700998432 | Edwin M Montell | Specialist | 134 Puuhonu Way, Hilo, HI 96720-2067 | 2006-08-31 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721259 | Hawaii Vision Surgical Suites LLC | Clinic/Center | 392 Kapiolani St, Hilo, HI 96720 | 2016-10-18 |
| 1891759601 | Punahele Associates, LLC | Clinic/Center | 82 Puuhonu Place, Ste 100, Hilo, HI 96720-2010 | 2006-04-17 |
| 1659444131 | The Endoscopy Center, LLC | Clinic/Center | 134 Puuhonu Way, Hilo, HI 96720-2067 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558753095 | Pacific Endoscopy Center LLC | Clinic/Center | 1401 S Beretania St Ste 200, Honolulu, HI 96814-1871 | 2015-02-20 |
| 1992915086 | Plastic Surgery Ctr of The Pac Inc | Clinic/Center | 677 Ala Moana Blvd Ste 1011, Honolulu, HI 96813-5471 | 2007-05-23 |
| 1841316841 | Pacific Endoscopy Center, LLC | Clinic/Center | 1029 Makolu Street, Suite H, Pearl City, HI 96782-2890 | 2007-03-21 |
| 1093830325 | Honolulu Spine Center, LLC | Clinic/Center | 500 Ala Moana Blvd Ste 301, Honolulu, HI 96813-4920 | 2007-03-19 |
| 1114985611 | Aloha Surgical Center LLC | Clinic/Center | 239 Hoohana St, Kahului, HI 96732-2452 | 2006-05-03 |
| 1821054412 | Hawaii Endoscopy Center LLC | Clinic/Center | 2226 Liliha Street, Suite 407, Honolulu, HI 96817 | 2006-04-24 |
| 1952366874 | Honolulu Surgery Center Lp | Clinic/Center | 500 Ala Moana Blvd, Tower 1 Suite 1b, Honolulu, HI 96813-4920 | 2006-04-20 |
| 1336142884 | The Surgical Suites LLC | Clinic/Center | 1100 Ward Ave, Ste 1001, Honolulu, HI 96814-1617 | 2005-05-27 |
| 1669868600 | Aloha Eye Clinic Surgical Center LLC | Clinic/Center | 450 Hookahi Street, Wailuku, HI 96793 | 2015-04-07 |
| 1104246446 | Pacific Endoscopy Center LLC | Clinic/Center | 2226 Liliha St, Ste. 307, Honolulu, HI 96817-1600 | 2014-04-25 |
| 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.