KAUAI OSTEOPATHIC, INC (NPI# 1720190929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720190929 |
| Entity Type | Organization |
| Organization Name | KAUAI OSTEOPATHIC, INC |
| Practice Address |
3483 Weliweli Rd Koloa HI 96756-8546 |
| Mailing Address |
3483 Weliweli Rd P.o. Box 817 Koloa HI 96756-8546 |
| Practice Telephone | 8087421200 |
| Practice Fax Number | 8087421206 |
| Mailing Telephone | 8087421200 |
| Mailing Fax Number | 8087421206 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA CHUN (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 8087421200 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 918 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA NON-PARTICIPATING NU | 23557-2 | 01 |
| Street Address |
3483 WELIWELI RD |
| City | KOLOA |
| State | HI |
| Zip Code | 96756-8546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184016446 | Creative Therapy, Inc. | Marriage & Family Therapist | 3483 Weliweli Rd, Suite #1, Koloa, HI 96756-8546 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005712 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikaumaka St, Ste B-201, Koloa, HI 96756 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| 1285054965 | Leia Makaneole | Massage Therapist | 2555a Ala Kinoiki Rd., Koloa, HI 96756 | 2014-04-22 |
| 1043549637 | Shanti Kay Manzano | Psychologist | 5476 Koloa Road, 2f, Koloa, HI 96756 | 2009-12-10 |
| 1467627075 | Margaret Bubon Smith | Counselor | 4055 Aka Rd, Koloa, HI 96756 | 2008-04-24 |
| 1376755330 | Holly Marie Poag | Emergency Medicine | 2829 Ala Kalanikaumaka St., Ste.b201, Koloa, HI 96756 | 2007-05-04 |
| 1871611558 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Koloa Clinic, 5371 Koloa Rd, Koloa, HI 96756 | 2007-03-27 |
| 1548330657 | Joseph M. Murray | Family Medicine | 5371 Koloa Rd, Koloa, HI 96756 | 2006-11-08 |
| 1164413696 | Daniel S Choi | Anesthesiology | 3176 Poipu Rd, Koloa, HI 96756 | 2005-11-03 |
| 1801980339 | Edward Franklin De Deo | Chiropractor | 5470 Koloa Rd 2d, Koloa, HI 96756-0388 | 2006-10-02 |
| Find all providers in zip 96756 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609140375 | Thomas L Shaver | Neuromusculoskeletal Medicine & OMM | 543760 Hanaula Apo Rd., Kapaau, HI 96755-1439 | 2012-02-28 |
| 1073838819 | Gerald Patrick Durkan | Neuromusculoskeletal Medicine & OMM | 1280 Kauhikoa Rd, Haiku, HI 96708-5830 | 2010-04-05 |
| 1003870403 | Roselia Schlichtig Conrad | Neuromusculoskeletal Medicine & OMM | 77-6539 Alii Dr B, Kailua-kona, HI 96740 | 2006-04-13 |
| 1205195039 | Luthien LLC | Neuromusculoskeletal Medicine & OMM | 970 N Kalaheo Ave, Suite #109, Kailua, HI 96734-1866 | 2012-05-14 |
| 1770717837 | Eun Kyong Strawser | Neuromusculoskeletal Medicine & OMM | 970 N Kalaheo Ave, Suite #c109, Kailua, HI 96734-1866 | 2009-05-05 |
| 1982844304 | Jackson Friedman D.o .pllc | Neuromusculoskeletal Medicine & OMM | 100 Keokea Pl, Kula, HI 96790-7450 | 2009-02-25 |
| 1730263419 | Karen Elizabeth Sept | Neuromusculoskeletal Medicine & OMM | 970 N Kalaheo Ave, Suite C-207, Kailua, HI 96734-1801 | 2006-10-25 |
Please comment or provide details below to improve the information on KAUAI OSTEOPATHIC, INC.
| 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.