HAWAII WELLNESS GROUP LLC


Address: 1314 S King St Ste 1655, Honolulu, HI 96814-1950
Phone: 8085919339

HAWAII WELLNESS GROUP LLC (NPI# 1699127332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699127332
Entity Type Organization
Organization Name HAWAII WELLNESS GROUP LLC
Practice Address 1314 S King St Ste 1655
Honolulu
HI 96814-1950
Mailing Address 1314 S King St Ste 1653
Honolulu
HI 96814-1950
Practice Telephone 8085919339
Practice Fax Number 8085919343
Mailing Telephone 8085919339
Mailing Fax Number 8085919343
Enumeration Date 2016-07-06
Last Update Date 2019-01-28
Authorized Official Name DAMIAN SMITH (OWNER)
Authorized Official Telephone 8085919339
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1314 S King St Ste 1653, Honolulu, HI 968141950 8085919339 8085919343

Office Location

Street Address 1314 S KING ST STE 1655
City HONOLULU
State HI
Zip Code 96814-1950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962550194 John Rady Magauran Internal Medicine 1314 S King St Ste 1655, Honolulu, HI 96814-1950 2007-01-05
1225500291 Yurie Asaoka Chiropractor 1314 S King St Ste 1655, Honolulu, HI 96814-1950 2018-12-31

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619444569 Optimized Health LLC General Practice 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 2018-10-30
1366926313 Doctors of Waikiki General Practice 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 2018-09-15
1023517968 Woundtech of Hawaii, Inc General Practice 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 2018-02-06
1285184796 Summer Breeze LLC General Practice 4211 Waialae #202, Honolulu, HI 96816-5319 2016-10-07
1134540404 Carolyn J. Mai General Practice 1522 Makaloa St, Suite 201, Honolulu, HI 96814-3255 2014-01-03
1316389828 Robert Henry Nathanson General Practice 1520 Ward Ave, #602, Honolulu, HI 96822-3569 2013-07-25
1003156092 Zhelah B Kayce General Practice 1009 Kapiolani Blvd, #4607, Honolulu, HI 96814-2112 2013-02-27
1366763567 Samuel G Hawk General Practice 1345 S Beretania St Ste 101, Honolulu, HI 96814-1802 2010-06-22
1598992919 Kimberly K Hooverson General Practice 1146 Fort Steeet Mall, Honolulu, HI 96813 2009-06-11
1982889028 David Itsuo Miyauchi General Practice 970 Valley View Drive, Honolulu, HI 96819 2008-01-08
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Competitor

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City HONOLULU
Zip Code 96814

Improve Information

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Dataset Information

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.

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