MR. SEAN M REILLY (NPI# 1497785596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497785596 |
| Entity Type | Individual |
| Full Name | MR. SEAN M REILLY |
| Credential | PA-C |
| Practice Address |
75-170 Hualalai Rd Ste C-110 Kailua Kona HI 96740-1741 |
| Practice Telephone | 8083299211 |
| Mailing Telephone | 8083299211 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
AMD183 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | STATE LICENSE | AMD183 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953055 | Sean Reilly | Pharmacist | 106 Bow St, Elkton, MD 21921-5544 | 2020-05-14 |
| 1720607815 | Sean Patrick Reilly | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 301, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1912375817 | Sean Michael Reilly | Social Worker | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152 | 2015-09-09 |
| 1346595287 | Sean Patrick Reilly | Pharmacist | 1504 Taub Loop, Pharmacy Administration, Houston, TX 77030-1608 | 2012-07-17 |
| 1386950418 | Sean Michael Reilly | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2010-08-26 |
| 1306819107 | Sean Clark Reilly | Internal Medicine | 6900 Georgia Ave Nw, Critical Care Medicine, Dept. of Medicine, Washington, DC 20307-0003 | 2006-02-10 |
| Street Address |
75-170 HUALALAI RD STE C-110 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821485517 | Fernando Manon | Counselor | 75-170 Hualalai Rd, Kailua Kona, HI 96740-1779 | 2015-04-20 |
| 1396088613 | Marianne Thalken | Counselor | 75-170 Hualalai Rd, # C310, Kailua Kona, HI 96740-1779 | 2013-04-04 |
| 1780921833 | Madona Oandasan Noa | Counselor | 75-170 Hualalai Rd, B103, Kailua Kona, HI 96740-1779 | 2013-01-09 |
| 1124365572 | Carolyn Kay Gandalira | Counselor | 75-170 Hualalai Rd, B103, Kailua Kona, HI 96740-1779 | 2013-01-04 |
| 1689927063 | Lei Awapuhi Moore | Counselor | 75-170 Hualalai Rd, Suite 310, Kailua Kona, HI 96740-1779 | 2012-10-22 |
| 1841552189 | Tamu Blakeney | Counselor | 75-170 Hualalai Rd, # B103, Kailua Kona, HI 96740-1779 | 2012-06-12 |
| 1376804872 | Carol Capelli | Counselor | 75-170 Hualalai Rd, B103, Kailua Kona, HI 96740-1779 | 2012-05-31 |
| 1386904712 | Kit Fletcher Hill | Counselor | 75-170 Hualalai Rd, # B 103, Kailua Kona, HI 96740-1779 | 2012-05-18 |
| 1508124090 | Angelia D. Beshears | Case Manager/Care Coordinator | 75-170 Hualalai Rd, Suite D216, Kailua Kona, HI 96740-1779 | 2012-05-02 |
| 1699044420 | Jesslie Hook | Counselor | 75-170 Hualalai Rd, # C310, Kailua Kona, HI 96740-1779 | 2011-12-22 |
| Find all providers in the same location | ||||
| 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 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609314269 | Natalie Marie Hammond | Physician Assistant | 73-5618 Maiau St Ste A204, Kailua Kona, HI 96740-2634 | 2017-02-03 |
| 1508804584 | Darren S Geliga | Physician Assistant | 75-6107 Hoomama St, Kailua Kona, HI 96740-7953 | 2006-06-03 |
| 1760936363 | Christopher Adam Palacios | Physician Assistant | 75-5995 Kuakini Hwy, #213, Kailua Kona, HI 96740-2144 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
| 1699275040 | Christopher Piel | Physician Assistant | 68-1845 Waikoloa Rd Ste 207, Waikoloa, HI 96738-5581 | 2018-02-12 |
| 1851795066 | Nicholle Hassell | Physician Assistant | 71 Country Club Rd Apt D, Honolulu, HI 96817-1403 | 2014-10-17 |
| 1891135026 | Jenny Leigh Burkowski | Physician Assistant | U.S. Army Health Clinic, Building 683, Schofield Barracks, HI 96786 | 2013-07-02 |
| 1528376597 | Crystal Chanel Cabansag | Physician Assistant | 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 | 2010-09-23 |
| 1841449956 | Scott Adam Denny | Physician Assistant | 1010 Pensacola St Fl 5, Honolulu, HI 96814-2118 | 2008-09-12 |
| 1245406958 | Leena Kit Ngee Hong | Physician Assistant | 3030 Pualei Cir, #206, Honolulu, HI 96815-4947 | 2008-05-02 |
| 1518145101 | Kirsten Lesley-browning Darrell | Physician Assistant | 4800d Kawaihau Rd., Ho' Ola Lahu'i Hawaii, Kapaa, HI 96746 | 2008-02-05 |
| 1144404757 | Stacy Vroman | Physician Assistant | 65-1235a Opelo Rd # 6, Kamuela, HI 96743-8401 | 2007-12-19 |
| 1063694594 | Frank J Macali | Physician Assistant | 54-014 Kukuna St Apt B, Hauula, HI 96717-8611 | 2007-11-27 |
| 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.