STEPHAN LEBAMOFF (NPI# 1871551507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871551507 |
| Entity Type | Individual |
| Full Name | STEPHAN LEBAMOFF |
| Credential | M.D. |
| Practice Address |
56-117 Pualalea St Kahuku HI 96731-2052 |
| Practice Telephone | 8082939221 |
| Practice Fax Number | 8082936290 |
| Mailing Telephone | 8082939221 |
| Mailing Fax Number | 8082936290 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD9282 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
56-117 PUALALEA ST |
| City | KAHUKU |
| State | HI |
| Zip Code | 96731-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974375 | Kahuku Hospital | Skilled Nursing Facility | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2005-07-07 |
| 1336660091 | Derek Alfred Melcher | Physical Therapist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-07-03 |
| 1780125179 | Kahuku Medical Center | Clinic/Center | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-17 |
| 1215477476 | Kori Napa'a | Social Worker | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-06 |
| 1306296389 | Karoline K Tam | Marriage & Family Therapist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2016-06-21 |
| 1679980387 | Merita Sao-auelua | Registered Nurse | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2014-07-14 |
| 1871918755 | North Shore Mental Health, Inc | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2014-02-28 |
| 1922390442 | North Shore Mental Health, Inc. | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2011-05-03 |
| 1144544677 | Thomas Joel Robertson | Social Worker | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2010-03-26 |
| 1346573326 | Sheila Grover Tolutau | Registered Nurse | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2009-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1568909109 | Maia Miller | Specialist/Technologist | 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 | 2017-01-20 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1295097830 | Kerry Saitia Moea'i | Social Worker | 56-395 Huehu St., Kahuku, HI 96731 | 2012-06-11 |
| 1114194073 | Jason Hughes | Internal Medicine | 56-117 Pualalea Street, Kahuku, HI 96731 | 2008-05-09 |
| 1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
| 1659438281 | Carol Francine Green | Social Worker | 56 565 Kamehameha Hwy, Kahuku, HI 96731 | 2007-01-02 |
| 1578508602 | Douglas A Sutherland | Pediatrics | 56 119 Pualalea St, Kahuku, HI 96731 | 2006-06-20 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1144683012 | Tara Reed | Internal Medicine | 56-119 Pualalea St, Kahuku, HI 96731 | 2016-03-30 |
| Find all providers in zip 96731 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073936027 | Thomas Sperandeo | Family Medicine | 57-101 W Kuilima Loop Apt 163, Kahuku, HI 96731-2146 | 2014-01-28 |
| 1023462090 | Vincent Giani | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2016-04-15 |
| 1265775415 | Jude D Sells | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2013-04-05 |
| 1003176652 | Janee Namealoha Sells | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2012-05-16 |
| 1548550114 | Irene Hwang | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2011-04-15 |
| 1366542060 | Wilfred C. Alik | Family Medicine | 56-565 Kamehameha Hwy, Kahuku, HI 96731-2202 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657307 | Healing Tides Primary Care LLC | Family Medicine | 1110 Nuuanu Ave # A1-182, Honolulu, HI 96817-5119 | 2020-04-09 |
| 1417597063 | Krissy Nichole English | Family Medicine | 65-1116 Hokuula Rd, Kamuela, HI 96743-8355 | 2020-01-12 |
| 1184288102 | Yoonhwan Roh | Family Medicine | 95-390 Kuahelani Ave # J1, Mililani, HI 96789-1192 | 2019-04-24 |
| 1427514645 | Ohana Pacific Medical LLC | Family Medicine | 94-1221 Ka Uka Blvd Unit 108-166, Waipahu, HI 96797-6202 | 2019-02-12 |
| 1265902555 | Liana Tsuruko Kobayashi | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2018-11-28 |
| 1508332610 | Jasdo, Inc. | Family Medicine | 73-4330 Keo Keo Street, Kailua-kona, HI 96745 | 2018-10-16 |
| 1124506845 | Big Island Family Medicine Inc | Family Medicine | 670 Ponahawai St Ste 207, Hilo, HI 96720-7830 | 2018-08-03 |
| 1669961322 | Micah David | Family Medicine | 1188 Bishop St Ste 802a, Honolulu, HI 96813-3303 | 2018-05-08 |
| 1639666233 | Kahuku Medical Center | Family Medicine | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2018-04-18 |
| 1033627930 | Bridget Collins, Md, LLC | Family Medicine | 3175 Elua St Ste C, Lihue, HI 96766-1203 | 2018-01-14 |
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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.