KAUAI MEDICAL CLINIC (NPI# 1750409421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750409421 |
| Entity Type | Organization |
| Organization Name | KAUAI MEDICAL CLINIC |
| Practice Address |
Kauai Medical Clinic - Eleele Clinic 4382 Waialo Rd Eleele HI 96705 |
| Mailing Address |
1946 Young St Suite 320 Honolulu HI 96826-2169 |
| Practice Telephone | 8083350499 |
| Practice Fax Number | 8083350496 |
| Mailing Telephone | 8089737320 |
| Mailing Fax Number | 8089737325 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | MR. DAVID OKABE (CFO, SR. VICE PRESIDENT) |
| Authorized Official Telephone | 8085357202 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAUAI MEDICAL CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578681268 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Kapaa Clinic, 4-1105b Kuhio Hwy, Kapaa, HI 96746 | 2007-03-27 |
| 1871611558 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Koloa Clinic, 5371 Koloa Rd, Koloa, HI 96756 | 2007-03-27 |
| 1487709838 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766-1098 | 2007-01-24 |
| 1376596643 | Kauai Medical Clinic | Clinic/Center | 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766-1098 | 2006-05-18 |
| Street Address |
KAUAI MEDICAL CLINIC - ELEELE CLINIC 4382 WAIALO RD |
| City | ELEELE |
| State | HI |
| Zip Code | 96705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788241 | Emmanuel Salvador Melchor | Pharmacist | 4469 Waialo Road, Eleele, HI 96705 | 2019-09-11 |
| 1194382630 | Blessy Aspiras | Registered Nurse | 4750 Uliuli Rd, Eleele, HI 96705 | 2019-05-21 |
| 1699212274 | Joscelynn Jarquio | Assistant Behavior Analyst | 533 Leipapa Pl., Eleele, HI 96705 | 2017-01-20 |
| 1871910745 | Ralph A. Dupree, Md, LLC | Clinic/Center | 243 Keo Keo Road, Eleele, HI 96705 | 2014-03-27 |
| 1740459387 | Zina Marina Daniels | Physical Therapist | 4353 Waialo Road, 11a, Eleele, HI 96705 | 2008-02-28 |
| 1497829139 | Thomas B. Williamson | Family Medicine | 4382 Waialo Rd, Eleele, HI 96705 | 2006-11-17 |
| 1235234303 | Steven J. Penner | Family Medicine | 4382 Waialo Road, Eleele, HI 96705 | 2006-09-14 |
| 1548292543 | C. Mitchell Jenkins | Internal Medicine | 4469 Waialo Rd, Eleele, HI 96705 | 2006-07-07 |
| 1922030923 | Virginia A. Beck | Nurse Practitioner | 4469 Waialo Rd., Eleele, HI 96705 | 2006-07-07 |
| 1235780941 | Rochelle Ritsuko Braun | Pharmacist | 4469 Waialo Rd, Eleele, HI 96705 | 2019-09-24 |
| Find all providers in zip 96705 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023208253 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 4469 Waialo Rd, Eleele, HI 96705 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354542 | Hawaii Home Infusion Associates, Ltd. | Durable Medical Equipment & Medical Supplies | 4490 Kolopa St Ste B, Lihue, HI 96766-2027 | 2020-10-20 |
| 1518572445 | Ohana Medical Supply Company LLC | Durable Medical Equipment & Medical Supplies | 123 Alala Rd, Kailua, HI 96734-3126 | 2020-09-08 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1083232821 | Health Monitors Hawaii, LLP | Durable Medical Equipment & Medical Supplies | 2720 Lowrey Ave, Honolulu, HI 96822-1636 | 2020-07-08 |
| 1639791486 | Akana Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 16-665 Milo St Unit A2, Keaau, HI 96749-8172 | 2020-05-15 |
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1841822863 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Schofield Main Exchange Building, 694 Mccornack Suite Sac19, Schofield Barracks, HI 96857 | 2020-02-07 |
| 1659919074 | Arctoa Medical LLC | Durable Medical Equipment & Medical Supplies | 169 S Kukui St Ste 203, Honolulu, HI 96813-2145 | 2019-12-16 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1043869340 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 988 Halekauwila St, Honolulu, HI 96814-4013 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
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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.