MR. GARY D EDWARDS (NPI# 1598997322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598997322 |
| Entity Type | Individual |
| Full Name | MR. GARY D EDWARDS |
| Credential | PA-C |
| Practice Address |
2180 Main St Wailuku HI 96793-1625 |
| Practice Telephone | 8082426464 |
| Mailing Telephone | 8082426464 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
AMD-377 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
00022 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366598872 | Gary A Edwards | Ophthalmology | 450 Ho'okahi Street, Aloha Eye Clinic, Wailuku, HI 96793 | 2007-01-26 |
| 1053322982 | Gary Forrest Edwards | Chiropractor | 5209 Princeton Way, Suite 601, Hoover, AL 35226-4182 | 2006-08-09 |
| 1588699904 | Gary S Edwards | Family Medicine | 9616 Rogers Ave, Fort Smith, AR 72903-5769 | 2006-07-12 |
| 1023481934 | Gary Joseph Edwards | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2015-11-02 |
| 1922425800 | Gary Robert Edwards | Orthopaedic Surgery | 3000 N Triumph Blvd Ste 330, Lehi, UT 84043-4999 | 2014-03-27 |
| 1639227606 | Gary S. Edwards | Obstetrics & Gynecology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| Street Address |
2180 MAIN ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578827 | Judy L Schmidt | Internal Medicine | 2180 Main St, Wailuku, HI 96793-1625 | 2005-06-15 |
| 1710502331 | Jalin K.a. Finai | Audiologist | 2180 Main St, Wailuku, HI 96793-1625 | 2020-06-09 |
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1902440365 | Natasha Victoria Murray | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2019-10-29 |
| 1740831445 | Maria Castellanos | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-09-24 |
| 1770143026 | Tamsyn Kellough | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-06-19 |
| 1851863419 | Emily Newman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-12-20 |
| 1083100986 | Rebeka Lyn Coleman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-07-03 |
| 1700383155 | Shawna Wiley | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793 | 2018-04-11 |
| 1821516618 | Tanya Takatani-apo | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2017-08-31 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588846125 | Heidi Sarkozy | Physician Assistant | 1830 Wells St Ste 103, Wailuku, HI 96793 | 2007-12-05 |
| 1023046372 | Simon Damian Hill | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659711323 | Edward Michael Lawlor | Physician Assistant | 45-552 Keneke Pl, Kaneohe, HI 96744-3420 | 2013-06-26 |
| 1427693266 | Dylan S Everett | Physician Assistant | 888 S King St, Honolulu, HI 96813-3097 | 2019-11-15 |
| 1538711650 | Kamala Pham Mcnevin | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-09 |
| 1356815906 | Lindsey M Shannon | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-01-16 |
| 1952763013 | Alan Sunada | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2016-03-28 |
| 1750612768 | Priscilla Rodriguez | Physician Assistant | 1 Jarrett White Road, Neurosurgery Clinic, Honolulu, HI 96859-5000 | 2010-01-15 |
| 1912236993 | Larry Robert Alfrey | Physician Assistant | 1301 Punchbowl St, Trauma Services, Kinau 403, Honolulu, HI 96813-2402 | 2009-12-21 |
| 1174749212 | Jameson John Pawlik | Physician Assistant | 41 E Lipoa St, Suite 21, Kihei, HI 96753-8148 | 2007-04-17 |
| 1609958149 | Janine Katins Delacourt | Physician Assistant | 1380 Lusitana Street, Suite 1012, Honolulu, HI 96813-2461 | 2006-10-20 |
| 1700986254 | John Y Lee | Physician Assistant | 3288 Moanalua Rd, Module 3b, Honolulu, HI 96819-1469 | 2006-09-24 |
| 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.