HAWAII FOOT AND ANKLE SURGICAL SPECIALISTS, LLC (NPI# 1740641513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740641513 |
Entity Type | Organization |
Organization Name | HAWAII FOOT AND ANKLE SURGICAL SPECIALISTS, LLC |
Practice Address |
1028 Kinoole St Suite 104 Hilo HI 96720-3800 |
Practice Telephone | 8089353121 |
Practice Fax Number | 8084430400 |
Mailing Telephone | 8089353121 |
Mailing Fax Number | 8084430400 |
Enumeration Date | 2016-03-08 |
Last Update Date | 2016-03-08 |
Authorized Official Name | MISAKO MCLEOD (OWNER) |
Authorized Official Telephone | 4153020239 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
HI | Podiatric Medicine & Surgery Service Providers |
Street Address |
1028 KINOOLE ST SUITE 104 |
City | HILO |
State | HI |
Zip Code | 96720-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992740666 | Brett A. Wyrick | Surgery | 1028 Kinoole St, Suite 104, Hilo, HI 96720-3800 | 2006-06-18 |
1568528982 | Robert I Tanaka | Chiropractor | 1028 Kinoole St, Suite 103, Hilo, HI 96720-3800 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
Find all providers in zip 96720 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982891297 | Misako Mcleod | Podiatrist | 1028 Kinoole St Ste 104, Hilo, HI 96720 | 2007-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437661238 | Byron Carrasco Dpm LLC | Podiatrist | 94-216 Farrington Hwy Ste A102, Waipahu, HI 96797-1922 | 2017-11-02 |
1942689542 | Kari M Tanimoto | Podiatrist | 405 N. Kaukim St., Suite 1010, Honolulu, HI 96817-6301 | 2015-05-28 |
1134480965 | Suhair Afif Shahwan | Podiatrist | 1329 Lusitana St Ste 802, Honolulu, HI 96813-2434 | 2012-06-07 |
1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
1306032180 | Gary B. Pitt Dpm Inc | Podiatrist | 59-229 Alapio Rd, Haleiwa, HI 96712-9604 | 2007-09-14 |
1861536021 | Barron D. Elleby | Podiatrist | 415 Dairy Rd Ste D, Kahului, HI 96732-2348 | 2007-02-19 |
1720137573 | Christopher Ken Teramura | Podiatrist | 40 Aulike St Ste 414, Kailua, HI 96734-2757 | 2007-01-10 |
1992805923 | Gary Byron Pitt | Podiatrist | 59-229 Alapio Road, Haleiwa, HI 96712-9604 | 2006-09-22 |
1922622588 | Island Foot and Ankle Specialists LLC | Podiatrist | 415 Dairy Rd Ste D, Kahului, HI 96732-2348 | 2020-05-29 |
1235549056 | Hawaii Podiatry Inc | Podiatrist | 1245 Kuala St, Suite 102a, Pearl City, HI 96782-3900 | 2014-05-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on HAWAII FOOT AND ANKLE SURGICAL SPECIALISTS, LLC.
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.