ISLAND FAMILY SURGICAL CARE CENTER LLC (NPI# 1912480237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912480237 |
| Entity Type | Organization |
| Organization Name | ISLAND FAMILY SURGICAL CARE CENTER LLC |
| Practice Address |
1830 Wells St Ste 103 Wailuku HI 96793-2365 |
| Practice Telephone | 8088665335 |
| Mailing Telephone | 8088665569 |
| Mailing Fax Number | 8084396060 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2020-11-01 |
| Authorized Official Name | DR. STEPHANIE ROSE YAN (MEMBER) |
| Authorized Official Telephone | 8088665569 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 Mahalani St, Wailuku, HI 967932526 | 8082449056 | |
| 3071 Pualei Cir Apt 301, Honolulu, HI 968154934 | 9093199188 |
| Street Address |
1830 WELLS ST STE 103 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588846125 | Heidi Sarkozy | Physician Assistant | 1830 Wells St Ste 103, Wailuku, HI 96793 | 2007-12-05 |
| 1922573971 | The Island Family Surgical Care Center LLC | Surgery | 1830 Wells St Ste 103, Wailuku, HI 96793-2365 | 2018-10-05 |
| 1578058442 | Melford Allan C Lazarte | Nurse Practitioner | 1830 Wells St Ste 103, Wailuku, HI 96793 | 2018-06-24 |
| 1508383753 | Jennifer Nill | Nurse Practitioner | 1830 Wells St Ste 103, Wailuku, HI 96793-2365 | 2017-08-28 |
| 1457595720 | Lisa Marie Lombardi | Physician Assistant | 1830 Wells St Ste 103, Wailuku, HI 96793-2365 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326015546 | Derrick J. Beech | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-03-07 |
| 1063025971 | Maui Trauma Surgeons LLP | Surgery | 221 Mahalani St, Wailuku, HI 96793-2526 | 2020-08-28 |
| 1194378885 | Robert Connaughton Md Ltd | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-07-22 |
| 1922573971 | The Island Family Surgical Care Center LLC | Surgery | 1830 Wells St Ste 103, Wailuku, HI 96793-2365 | 2018-10-05 |
| 1083148209 | Lyons Care Associates, LLC | Surgery | 1830 Wells St, Ste: 103, Wailuku, HI 96793-2365 | 2017-04-13 |
| 1508155839 | Mitchell N. Tasaki | Surgery | 1885 Main St, Ste. 206, Wailuku, HI 96793-1819 | 2011-04-07 |
| 1710206180 | Stephanie Rose Beltran Yan | Surgery | 1830 Wells St, Ste 103, Wailuku, HI 96793-2365 | 2010-05-25 |
| 1194975516 | Brian I. Watanabe, M.d., Inc. | Surgery | 1885 Main St, Suite 205, Wailuku, HI 96793-1819 | 2008-09-22 |
| 1861682056 | Khaled Walid Hamzeh | Surgery | 2180 Main St, Wailuku, HI 96793-1625 | 2007-07-25 |
| 1518034909 | Arthur B. Chasen | Surgery | 1830 Wells St, Suite 101, Wailuku, HI 96793-2365 | 2006-11-29 |
| Find all providers in WAILUKU | ||||
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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.