LEEWARD RADIATION ONCOLOGY (NPI# 1457356164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457356164 |
| Entity Type | Organization |
| Organization Name | LEEWARD RADIATION ONCOLOGY |
| Practice Address |
91-2135 Fort Weaver Rd Ste B120 Ewa Beach HI 96706-1929 |
| Practice Telephone | 8086789000 |
| Practice Fax Number | 8086771040 |
| Mailing Telephone | 8086789000 |
| Mailing Fax Number | 8086771040 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | RAE MAMEA (OFFICE MANAGER) |
| Authorized Official Telephone | 8086789000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
RT0002 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 24785101 | 05 |
| Street Address |
91-2135 FORT WEAVER RD STE B120 |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453695 | Richard Himmelmann Jr. | Acupuncturist | 91-2135 Fort Weaver Rd, #150, Ewa Beach, HI 96706-1940 | 2014-10-29 |
| 1629471834 | Naomi Fukuda | Registered Nurse | 91-2135 Fort Weaver Rd, Suite 180, Ewa Beach, HI 96706-3607 | 2014-10-01 |
| 1356777874 | Carrie Hanae Shklov | Social Worker | 91-2135 Fort Weaver Rd, #501, Ewa Beach, HI 96706-1940 | 2013-09-16 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1104170935 | Brian W Kelley | Clinical Neuropsychologist | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-10-31 |
| 1306051834 | Scott Sadamu Morioka | Physical Medicine & Rehabilitation | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-05-10 |
| 1184779217 | Carl F Hodel | Emergency Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-01-25 |
| 1649338294 | Eva Shear | Physician Assistant | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-12-05 |
| 1982780367 | Tai-yuan David Lin | Pathology | 91-2135 Fort Weaver Rd, #300, Ewa Beach, HI 96706-1940 | 2006-10-28 |
| 1619989597 | Workstar Occupational Health Systems Inc | Preventive Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144433053 | Pacific Cancer Institute LLC | Clinic/Center | 227 Mahalani St, Wailuku, HI 96793-2526 | 2007-05-07 |
| 1285746636 | Cancer Center of Hawaii, LLC | Clinic/Center | 2226 Liliha St, Level B-2, Honolulu, HI 96817-1600 | 2006-08-31 |
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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.