ISLAND DERMATOLOGY LLC (NPI# 1497226054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497226054 |
| Entity Type | Organization |
| Organization Name | ISLAND DERMATOLOGY LLC |
| Practice Address |
75-5995 Kuakini Hwy Ste 443&445 Kailua Kona HI 96740-2144 |
| Mailing Address |
Po Box 2279 Kailua Kona HI 96745-2279 |
| Practice Telephone | 8083232608 |
| Practice Fax Number | 8088859793 |
| Mailing Telephone | 8083232608 |
| Mailing Fax Number | 8088859793 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Authorized Official Name | DR. SHELLIE R NORMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 2086403504 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68-1845 Waikoloa Rd, Suite 207, Waikoloa, HI 96739 | 8083232608 | 8088859793 |
| Street Address |
75-5995 KUAKINI HWY STE 443&445 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1821409236 | Facial808 | Preferred Provider Organization | 73-4520 Hawaii Belt Road, Kailua-kona, HI 96740 | 2014-05-20 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568592772 | Monica M Scheel | Dermatology | 73-5618 Maiau St, Suite A204, Kailua Kona, HI 96740-2616 | 2007-03-06 |
| 1396173506 | Monica Scheel Md LLC | Dermatology | 73-5618 Maiau St, Ste A204, Kailua Kona, HI 96740-2616 | 2013-10-24 |
| 1336211952 | Joy A Mcelroy | Dermatology | 77-311 Sunset Dr, Kailua Kona, HI 96740-9754 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844473 | Mahinakealo, LLC | Dermatology | 44-2881 Kalopa Mauka Rd, Honokaa, HI 96727-6853 | 2020-06-02 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1184923765 | Shelbi Ching Jim On | Dermatology | 405 N Kuakini St Ste 703, Honolulu, HI 96817-6302 | 2011-03-21 |
| 1730406232 | Paul I. Sunahara M.d., Inc. | Dermatology | 321 N Kuakini St Ste 610, Honolulu, HI 96817-2388 | 2010-04-23 |
| 1346417292 | Mika L Yamazaki | Dermatology | 95-151 Pali Momi Street, Aiea, HI 96701 | 2008-05-09 |
| 1952571416 | Timothy Hagino, M.d. LLC | Dermatology | 99-128 Aiea Heights Dr Ste 110, Aiea, HI 96701-3916 | 2008-03-11 |
| 1073631362 | Linda E. Fancher | Dermatology | 1010 S King St Ste 220, Honolulu, HI 96814-1703 | 2007-03-26 |
| 1942373865 | Douglas W. Chun | Dermatology | 1380 Lusitana St Ste 412, Honolulu, HI 96813-2440 | 2006-11-16 |
| 1679643134 | Norman Goldstein Md Inc | Dermatology | 1128 Smith St, Honolulu, HI 96817-5139 | 2006-11-09 |
| 1124110879 | Linda E Fancher Md LLC | Dermatology | 1010 South King St, Ste 220, Honolulu, HI 96814 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.