WAILEA IMAGING CENTER (NPI# 1962885277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962885277 |
| Entity Type | Organization |
| Organization Name | WAILEA IMAGING CENTER |
| Practice Address |
100 Wailea Ike Dr Kihei HI 96753-9524 |
| Mailing Address |
Msc 61262 Po Box 1300 Honolulu HI 96807-1300 |
| Practice Telephone | 8086777727 |
| Practice Fax Number | 8086975488 |
| Mailing Telephone | 8086777727 |
| Mailing Fax Number | 8086975488 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |
| Authorized Official Name | BINH TU (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8086777727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
W84651925-01 | HI | Ambulatory Health Care Facilities |
| Street Address |
100 WAILEA IKE DR |
| City | KIHEI |
| State | HI |
| Zip Code | 96753-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043775570 | Samantha Frances Jezeski | Family Medicine | 100 Wailea Ike Dr, Kihei, HI 96753-9514 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490414 | Rheumatology Associates of Maui, LLC | Internal Medicine | 1444 S. Kihei Rd, Kihei, HI 96753 | 2020-09-01 |
| 1184259475 | Lindsey Therapy Services, LLC | Marriage & Family Therapist | 1847 South Kihei Rd., #205, Kihei, HI 96753 | 2020-03-06 |
| 1558922955 | Michaek Kalani Dacquel | Massage Therapist | 310 Ohukai Rd #312, Kihei, HI 96753 | 2019-06-26 |
| 1356830772 | Marc Kross Md Inc | Surgery | 30 E Lipoa St Unit 4108, Kihei, HI 96753 | 2018-05-02 |
| 1346793114 | Debra Bayer Inc | Substance Abuse Rehabilitation Facility | 1325 S Kihei Rd Ste 215, Kihei, HI 96753 | 2016-07-28 |
| 1912312364 | Lara Harvey | Marriage & Family Therapist | 1325 South Kihei Road, Suite 226b, Kihei, HI 96753 | 2014-06-24 |
| 1851735807 | Jeffrey Charles Olson | Dentist | 161 Wailea Ike Dr, Ste B104, Wailea, HI 96753 | 2013-04-22 |
| 1699016097 | Sky Lillian Sarah Connelly | Midwife | 484 Hoala Dr, Kihei, HI 96753 | 2013-03-09 |
| 1891031951 | Institute for Antiaging Studies | Clinic/Center | 214 Luakaha Cir, Kihei, HI 96753 | 2012-12-18 |
| 1790031433 | Zachary Hunter Rice | Acupuncturist | 344 Nehu Pl, Kihei, HI 96753 | 2012-07-31 |
| Find all providers in zip 96753 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174646939 | Kaiser Foundation Health Plan | Clinic/Center | 1279 S Kihei Rd Ste 120, Kihei, HI 96753-5222 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982919593 | Austin Radiological Association | Clinic/Center | 970 North Kalaheo Avenue, Suite A-307, Kailua, HI 96734-1870 | 2010-08-09 |
| 1215069430 | The Radiology Group Inc. | Clinic/Center | 94-800 Ukee Street, Suite 303, Waipahu, HI 96797 | 2007-03-12 |
| 1265490338 | St Francis Imaging LLC | Clinic/Center | 2230 Liliha Street, Honolulu, HI 96817 | 2006-05-01 |
| 1245587500 | Romeo P. Pineda M.d., Inc. | Clinic/Center | 1712 Liliha St Ste 205, Honolulu, HI 96817-3100 | 2012-08-06 |
| 1952591430 | Radiation Oncology Associates,inc. | Clinic/Center | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-07-31 |
| 1356464192 | Kaiser Foundation Health Plan | Clinic/Center | 2828 Paa St, Honolulu, HI 96819-4405 | 2007-04-09 |
| 1386767135 | Kaiser Foundation Health Plan | Clinic/Center | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-04-09 |
| 1861523367 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic/Center | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-03-08 |
| 1194820472 | Kaiser Foundation Health Plan | Clinic/Center | 94-1480 Moaniani St, Radiology Department, Waipahu, HI 96797-4632 | 2006-09-13 |
| 1700980364 | Kaiser Foundation Health Plan | Clinic/Center | 80 Mahalani St, Radiology Department, Wailuku, HI 96793-2531 | 2006-09-12 |
| 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.