DR. M KATHRYN EDWARDS (NPI# 1669525242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669525242 |
| Entity Type | Individual |
| Full Name | DR. M KATHRYN EDWARDS |
| Other Name | MARY KATHRYN EDWARDS |
| Credential | MD |
| Practice Address |
55 Mauilani Pkwy Wailuku HI 96793-2416 |
| Practice Telephone | 8082436050 |
| Mailing Telephone | 8082436050 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD-11628 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 505034-02 | 05 | |
| HI | HMSA BILLING NUMBER | 0000232421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124083225 | M Farid Edwards | Anesthesiology | 410 West Tenth Ave, N429 Doan Hall, Columbus, OH 43210 | 2006-04-20 |
| Street Address |
55 MAUILANI PKWY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930548 | Errol T Buntuyan | Family Medicine | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2005-08-23 |
| 1518397595 | Bennie Gonzales | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2013-11-12 |
| 1114362522 | Chimene Marie Sienkiewicz | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2013-04-30 |
| 1679830343 | Kevin Young | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2012-04-18 |
| 1497012173 | Alexis Lhk Fong | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2012-04-18 |
| 1962774265 | Tehane Ornellas Han | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2012-02-01 |
| 1902124571 | Robert Durant | Physical Therapist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2010-05-06 |
| 1134447790 | Pamela Theresa Garcia-neveu | Occupational Therapist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2010-05-06 |
| 1699900985 | Rachel Withers | Physician Assistant | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2009-05-15 |
| 1073759254 | Melissa Swoope | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2008-12-18 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477842060 | Casandra Connie Simonson | Pediatrics | 1881 Nani St, Wailuku, HI 96793-1811 | 2011-04-04 |
| 1306089404 | Jennie Mei Herrington Montijo | Pediatrics | 55 Maui Lani Pkwy, Kaiser Maui Lani Clinic Pediatrics, Wailuku, HI 96793-2416 | 2009-04-20 |
| 1629246699 | Joy Anglin Dalmon | Pediatrics | 55 Maui Lani Pkwy, Kaiser Permanente Maui Lani Medical Office, Wailuku, HI 96793-2416 | 2008-02-13 |
| 1659423713 | Rinku Uberoi | Pediatrics | 1881 Nani St, Wailuku, HI 96793-1811 | 2007-01-17 |
| 1790846293 | Lisa M. Yoshikawa | Pediatrics | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2006-12-12 |
| 1033277348 | Felicitas B. Livaudais | Pediatrics | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2006-12-05 |
| 1225119761 | David M. Ulin | Pediatrics | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2006-10-18 |
| 1538254883 | Donna L. Mccleary | Pediatrics | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-10-04 |
| 1568486348 | Bert Akitake | Pediatrics | 2180 Main St, Wailuku, HI 96793-1666 | 2006-07-26 |
| 1699796730 | Annabelle Mateo | Pediatrics | 2180 Main St, Wailuku, HI 96793-1666 | 2006-07-22 |
| Find all providers in WAILUKU | ||||
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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.