POIPU MD, LLC (NPI# 1821467796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821467796 |
| Entity Type | Organization |
| Organization Name | POIPU MD, LLC |
| Other Organization Name | POIPU MOBILE MD |
| Practice Address |
5485 Koloa Rd Suite 1652 Koloa HI 96756-3001 |
| Mailing Address |
Po Box 1652 Koloa HI 96756-1652 |
| Practice Telephone | 8083463324 |
| Mailing Telephone | 8083463324 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2016-06-04 |
| Authorized Official Name | DR. J BURRIS JR. (PRESIDENT) |
| Authorized Official Telephone | 8086527021 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | POIPU MD, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
14727 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Poipu Mobile MD | Doing Business As Name - Organization |
| Street Address |
5485 KOLOA RD SUITE 1652 |
| City | KOLOA |
| State | HI |
| Zip Code | 96756-3001 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| 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 |
| 1891163747 | Puuwai Professional Enterprises, LLC | Clinic/Center | 2585 Waho St, Koloa, HI 96756-9550 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227643 | The Queens Medical Center | Clinic/Center | 1215 Hunakai St, Honolulu, HI 96816-4661 | 2020-02-19 |
| 1528691383 | The Queens Medical Center | Clinic/Center | 377 Keahole St Ste E108e109, Honolulu, HI 96825-3405 | 2020-02-19 |
| 1538534995 | University Urgent Care | Clinic/Center | 1321 Opua St, Honolulu, HI 96818-1932 | 2015-12-09 |
| 1467854125 | Windward Urgent Care Services, L.l.c | Clinic/Center | 45 1141 Kamehameha Highway, Kaneohe, HI 96744 | 2014-09-24 |
| 1164831343 | Mary Savio Healthcare Services Inc | Clinic/Center | 98-1247 Kaahumanu St Ste 315, Aiea, HI 96701-5301 | 2014-08-12 |
| 1760724447 | Saba Kam | Clinic/Center | 1288 Kapiolani Blvd Apt 1508, Honolulu, HI 96814-2868 | 2013-03-20 |
| 1639341886 | Physician Providers, Inc. | Clinic/Center | 1777 Ala Moana Blvd, Lobby Level - Ilikai Hotel, Honolulu, HI 96815-1603 | 2008-03-27 |
| 1972718013 | Urgent Care Clinic of Waikiki, LLC | Clinic/Center | 2155 Kalakaua Ave Ste 308, Honolulu, HI 96815-2354 | 2007-05-11 |
| 1295748507 | Daphne F. Myers | Clinic/Center | 1325 Wilder Ave, Mauka 10, Honolulu, HI 96822-4292 | 2006-08-15 |
| 1417580275 | The Queens Medical Center | Clinic/Center | 91-6390 Kapolei Pkwy, Ewa Beach, HI 96706 | 2020-02-19 |
| 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.