J. GLENN HAINES (NPI# 1508836917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508836917 |
| Entity Type | Individual |
| Full Name | J. GLENN HAINES |
| Credential | M.D. |
| Practice Address |
1830 Wells St Ste 101 Wailuku HI 96793-2365 |
| Practice Telephone | 8082443200 |
| Practice Fax Number | 8082449793 |
| Mailing Telephone | 8082443200 |
| Mailing Fax Number | 8082449793 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2010-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 3041 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | MEDICARE RAILROAD | CS8366 | 01 |
| Street Address |
1830 WELLS ST STE 101 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083148209 | Lyons Care Associates, LLC | Surgery | 1830 Wells St, Ste: 103, Wailuku, HI 96793-2365 | 2017-04-13 |
| 1144778267 | Ashley Marie Orr | Audiologist | 1830 Wells St, Suite 103, Wailuku, HI 96793-2365 | 2016-09-18 |
| 1851751861 | Mid Pacific Physicians and Surgeons | Specialist | 1830 Wells St, Suite 101, Wailuku, HI 96793-2365 | 2016-03-03 |
| 1932570827 | Fionna Marave | Dietitian, Registered | 1830 Wells St, Suite 101, Wailuku, HI 96793-2365 | 2015-10-17 |
| 1710206180 | Stephanie Rose Beltran Yan | Surgery | 1830 Wells St, Ste 103, Wailuku, HI 96793-2365 | 2010-05-25 |
| 1225354699 | Celeste Marie Baldwin | Registered Nurse | 1830 Wells St, Suite #103, Wailuku, HI 96793-2365 | 2010-04-10 |
| 1982822862 | David S Crow Md Phd LLC | Otolaryngology | 1830 Wells St, Suite 103, Wailuku, HI 96793-2365 | 2007-04-23 |
| 1750430799 | Michael Richard Savona | Internal Medicine | 1830 Wells St, Suite 102, Wailuku, HI 96793-2365 | 2007-01-09 |
| 1518034909 | Arthur B. Chasen | Surgery | 1830 Wells St, Suite 101, Wailuku, HI 96793-2365 | 2006-11-29 |
| 1316014947 | Christopher Mcneil | Dentist | 1830 Wells St, Suite 201, Wailuku, HI 96793 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659686020 | J. Glenn Haines, M.d., Inc. | Urology | 1830 Wells St Ste 101, Wailuku, HI 96793-2365 | 2010-08-10 |
| 1063568657 | Soren N Carlsen | Urology | 71 Kanoa St Ste 201, Wailuku, HI 96793-5816 | 2007-01-26 |
| 1518058296 | Patrick E. Hamilton | Urology | 24 N Church St Ste 308, Wailuku, HI 96793-1608 | 2006-09-27 |
| 1073179669 | Maui Urology, LLC | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | 2019-05-19 |
| 1376714451 | Benjamin T. Shurtleff | Urology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2008-03-17 |
| 1558461350 | Todd H. Hoekstra | Urology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659772762 | Big Island Urology & Andrology | Urology | 75-184 Hualalai Rd Ste 200, Kailua Kona, HI 96740-1719 | 2014-09-08 |
| 1043630726 | Andrew Jordan Sun | Urology | 1329 Lusitana St Ste 406, Honolulu, HI 96813-2412 | 2014-04-22 |
| 1750721171 | Thomas Yutaka Ito | Urology | 1850 Laukahi St, Honolulu, HI 96821-1361 | 2013-06-29 |
| 1790022804 | Hawaii Urological Institute | Urology | 91-2139 Fort Weaver Rd Ste 205, Ewa Beach, HI 96706-3608 | 2013-01-09 |
| 1235481185 | Island Urology Oahu LLC | Urology | 1329 Lusitana St Ste 602, Honolulu, HI 96813-2431 | 2012-10-02 |
| 1619276623 | James H Stewart | Urology | 155 Ohana St, Kailua, HI 96734-2351 | 2011-03-17 |
| 1053614388 | Eugene T Tanabe Md Inc | Urology | 98-1079 Moanalua Rd Ste 460, Aiea, HI 96701-4723 | 2010-12-08 |
| 1790085595 | Herbert Kw Chinn M D Inc | Urology | 1329 Lusitana St Ste 108, Honolulu, HI 96813-2401 | 2010-10-26 |
| 1912216599 | David A Kuchenbecker Md, Inc | Urology | 30 Aulike St Ste 602, Kailua, HI 96734-2752 | 2010-09-30 |
| 1437398583 | Charles Ock Kim Jr Md LLC | Urology | 707 Richards St Ste 517, Honolulu, HI 96813-4623 | 2009-02-12 |
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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.