BIG ISLAND UROLOGY & ANDROLOGY (NPI# 1659772762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659772762 |
| Entity Type | Organization |
| Organization Name | BIG ISLAND UROLOGY & ANDROLOGY |
| Practice Address |
75-184 Hualalai Rd Ste 200 Kailua Kona HI 96740-1719 |
| Practice Telephone | 8082380412 |
| Practice Fax Number | 8082380427 |
| Mailing Telephone | 8082380412 |
| Mailing Fax Number | 8082380427 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | MRS. BEONKA J SNYDER (PRACTICE MANAGER) |
| Authorized Official Telephone | 8082380412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD-14791 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
75-184 HUALALAI RD STE 200 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953459 | Dr. Au LLC | Clinic/Center | 75-184 Hualalai Rd Ste 200, Kailua Kona, HI 96740-1719 | 2018-12-06 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1659686020 | J. Glenn Haines, M.d., Inc. | Urology | 1830 Wells St Ste 101, Wailuku, HI 96793-2365 | 2010-08-10 |
| 1437398583 | Charles Ock Kim Jr Md LLC | Urology | 707 Richards St Ste 517, Honolulu, HI 96813-4623 | 2009-02-12 |
| 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.