HAWAII CARE CONNECT MEDICAL GROUP LLC (NPI# 1902300056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902300056 |
Entity Type | Organization |
Organization Name | HAWAII CARE CONNECT MEDICAL GROUP LLC |
Practice Address |
94-356 Waipahu Depot St Ste 204 Waipahu HI 96797-3057 |
Practice Telephone | 8084394729 |
Mailing Telephone | 8084394729 |
Enumeration Date | 2018-03-22 |
Last Update Date | 2018-03-22 |
Authorized Official Name | LORETTA UBANTE (CEO) |
Authorized Official Telephone | 8084394729 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
94-356 WAIPAHU DEPOT ST STE 204 |
City | WAIPAHU |
State | HI |
Zip Code | 96797-3057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
Find all providers in zip 96797 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689223406 | Lolita Echauz Ching | Nurse Practitioner | 94-366 Pupupani St Ste 208, Waipahu, HI 96797-2644 | 2019-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154936094 | Jenny Greenlee | Nurse Practitioner | 5424 Edgewater Dr, Ewa Beach, HI 96706-3249 | 2020-09-08 |
1578176830 | Ruthe Klarisse Simon-umil | Nurse Practitioner | 91-1043 Mamaka St, Kapolei, HI 96707-2914 | 2020-08-26 |
1669964474 | Donita K Valdez | Nurse Practitioner | 846 S Hotel St Ste 102, Honolulu, HI 96813-2583 | 2018-06-06 |
1801385463 | Gayane Bejanyan | Nurse Practitioner | 2310 Kuhio Ave # 223, Honolulu, HI 96815-2983 | 2018-05-08 |
1598378705 | Yukiko Kobayashi Goodell | Nurse Practitioner | 120 Ka'iulani Ave, Ka'iulani Wing 10 & 11, Honolulu, HI 96815 | 2020-08-26 |
1629602081 | Paul Dana Willms | Nurse Practitioner | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-02-25 |
1871149948 | Anthone T Jeon | Nurse Practitioner | 1357 Kapiolani Blvd Ste 1460, Honolulu, HI 96814-4509 | 2019-08-14 |
1619469954 | Melissa M Sutherland | Nurse Practitioner | 302 California Ave Ste 106, Wahiawa, HI 96786-1841 | 2018-06-01 |
1437654308 | Rebecca Claire Fojas-calimpong | Nurse Practitioner | 277 Ohua Ave, Honolulu, HI 96815 | 2018-03-24 |
1033574116 | Michelle M Soga | Nurse Practitioner | 82 Puuhonu Pl, Suite #820, Hilo, HI 96720-2010 | 2015-12-16 |
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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.