PATTI K M ENDO MD INC (NPI# 1972893980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972893980 |
| Entity Type | Organization |
| Organization Name | PATTI K M ENDO MD INC |
| Practice Address |
135 S Wakea Ave Suite 111 Kahului HI 96732-1385 |
| Practice Telephone | 8088773635 |
| Practice Fax Number | 8088774363 |
| Mailing Telephone | 8088773635 |
| Mailing Fax Number | 8088774363 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | DR. PATTI K ENDO (PRESIDENT) |
| Authorized Official Telephone | 8088773635 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD9088 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 07506301 | 05 |
| Street Address |
135 S WAKEA AVE SUITE 111 |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861473233 | Benjamin Tiongson Gamboa | Internal Medicine | 135 S Wakea Ave, Ste 107, Kahului, HI 96732-1385 | 2005-11-10 |
| 1043760077 | Ohana Wellness Maui, LLC | Marriage & Family Therapist | 135 S Wakea Ave, Suite 105, Kahului, HI 96732-1385 | 2016-10-14 |
| 1164836870 | Pakolea Rehab | Rehabilitation Practitioner | 135 S Wakea Ave, Kahului, HI 96732-1385 | 2014-06-20 |
| 1700205275 | Benjamin T. Gamboa,m.d. L.L.C. | Internal Medicine | 135 S Wakea Ave, Ste 107, Kahului, HI 96732-1385 | 2014-04-14 |
| 1275964751 | Angie Peters Mpt LLC | Specialist | 135 S Wakea Ave, Unit 112, Kahului, HI 96732-1385 | 2013-12-09 |
| 1386985315 | Noreen Joyce | Social Worker | 135 S Wakea Ave, Ste 101, Kahului, HI 96732 | 2013-03-15 |
| 1578804126 | Debbie Spates | Marriage & Family Therapist | 135 S Wakea Ave, Suite 208, Kahului, HI 96732-1385 | 2013-03-06 |
| 1174867519 | Satoko Miki-o'donovan | Counselor | 135 S Wakea Ave, Suite 208, Kahului, HI 96732-1385 | 2012-11-26 |
| 1902152747 | Luukia Ruidas, Md LLC | Clinic/Center | 135 S Wakea Ave, #111, Kahului, HI 96732-1385 | 2012-07-31 |
| 1952670515 | Rachael Mcgee Pope | Speech-Language Pathologist | 135 S Wakea Ave, Suite 112, Kahului, HI 96732-1385 | 2011-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467884536 | Aloha Dermatology and Laser Center LLC | Dermatology | 89 Hookele St, 101, Kahului, HI 96732-3532 | 2013-07-31 |
| 1831422906 | Ellecia Cook | Dermatology | 110 E Kaahumanu Ave, Kahului, HI 96732-2118 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844473 | Mahinakealo, LLC | Dermatology | 44-2881 Kalopa Mauka Rd, Honokaa, HI 96727-6853 | 2020-06-02 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1184923765 | Shelbi Ching Jim On | Dermatology | 405 N Kuakini St Ste 703, Honolulu, HI 96817-6302 | 2011-03-21 |
| 1730406232 | Paul I. Sunahara M.d., Inc. | Dermatology | 321 N Kuakini St Ste 610, Honolulu, HI 96817-2388 | 2010-04-23 |
| 1346417292 | Mika L Yamazaki | Dermatology | 95-151 Pali Momi Street, Aiea, HI 96701 | 2008-05-09 |
| 1952571416 | Timothy Hagino, M.d. LLC | Dermatology | 99-128 Aiea Heights Dr Ste 110, Aiea, HI 96701-3916 | 2008-03-11 |
| 1073631362 | Linda E. Fancher | Dermatology | 1010 S King St Ste 220, Honolulu, HI 96814-1703 | 2007-03-26 |
| 1568592772 | Monica M Scheel | Dermatology | 73-5618 Maiau St, Suite A204, Kailua Kona, HI 96740-2616 | 2007-03-06 |
| 1942373865 | Douglas W. Chun | Dermatology | 1380 Lusitana St Ste 412, Honolulu, HI 96813-2440 | 2006-11-16 |
| 1679643134 | Norman Goldstein Md Inc | Dermatology | 1128 Smith St, Honolulu, HI 96817-5139 | 2006-11-09 |
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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.