SILVERSAGE PHYSICIAN SERVICES OF HAWAII, PROFESSIONAL CORPORATION (NPI# 1902350846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902350846 |
Entity Type | Organization |
Organization Name | SILVERSAGE PHYSICIAN SERVICES OF HAWAII, PROFESSIONAL CORPORATION |
Practice Address |
78-6957 Kamehameha IIi Rd Kailua Kona HI 96740-2528 |
Mailing Address |
Po Box 22484 Chattanooga TN 37422-2484 |
Practice Telephone | 8083222528 |
Mailing Telephone | 4238151600 |
Mailing Fax Number | 4237631118 |
Enumeration Date | 2016-08-09 |
Last Update Date | 2016-08-31 |
Authorized Official Name | KENNETH L. SCOTT (PRESIDENT) |
Authorized Official Telephone | 4238151605 |
Authorized Official Credential | D.O, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
78-6957 KAMEHAMEHA III RD |
City | KAILUA KONA |
State | HI |
Zip Code | 96740-2528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649337379 | Kona Medical Investors LLC | Skilled Nursing Facility | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2007-01-02 |
1073003711 | Ashley Mckellar | Occupational Therapist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2018-05-17 |
1790109544 | Aaron William Misiak | Physical Therapist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2014-02-14 |
1194156604 | Life Care Center of Kona | Clinic/Center | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2013-12-09 |
1326471061 | Natalie Vitale | Speech-Language Pathologist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2013-08-16 |
1255690210 | Joellen Jean Salisbury | Speech-Language Pathologist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2012-05-11 |
1932415270 | Jennifer Huddy Hulen | Physical Therapist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2010-08-24 |
1124333786 | Steven Hudak | Physical Therapist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2010-08-06 |
1437328622 | Diane Irene Bergeron | Occupational Therapist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2008-02-21 |
1902075260 | Michelle Brunson Tieri | Physical Therapist | 78-6957 Kamehameha IIi Rd, Kailua Kona, HI 96740-2528 | 2008-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
Find all providers in zip 96740 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063807840 | Ann Catherine Garcia | Family Medicine | Kuakini Medical Center, 347 N. Kuakini Street, Hpm 9, Honolulu, HI 96817 | 2015-03-30 |
1699965699 | Koichiro Yamasaki | Family Medicine | 347 N Kuakini St, Mph-9, Honolulu, HI 96817 | 2007-07-26 |
1982750394 | Mona Ruth Bomgaars | Family Medicine | 712 Ainapo St, Honolulu, HI 96825-1050 | 2007-01-26 |
1669425906 | Robert Gries | Family Medicine | 6163 Summer St, Honolulu, HI 96821-2342 | 2006-05-18 |
1184694192 | Kiyotaka Albert Yazawa | Family Medicine | 1027 Hala Dr, Maluhia, Honolulu, HI 96817 | 2006-01-23 |
1679005235 | Devin Hazama I | Family Medicine | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720-7210 | 2017-04-01 |
1457703134 | Kai Health, Inc. | Family Medicine | 128 Lehua St, Wahiawa, HI 96786-2036 | 2016-07-06 |
1902285059 | Shirley M.m. Hirata | Family Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2015-05-22 |
1134525546 | Debra Kettleson Inc | Family Medicine | 670 Ponahawai St Ste 221, Hilo, HI 96720-7829 | 2014-11-12 |
1477997096 | Seabrook K. Mow | Family Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2013-04-25 |
Find all providers with the same taxonomy |
City | KAILUA KONA |
Zip Code | 96740 |
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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.