Connie M Lutkevich (NPI# 1972552412, PAC ID# 0941343800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1972552412 |
| PAC ID by PECOS | 0941343800 |
| Professional Enrollment ID | I20130123000170 |
| Full Name | Connie M Lutkevich |
| Organization Legal Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Address |
4643 Waimea Canyon Dr Suite B Waimea HI 96796 |
| Phone Number | 8083388311 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1998 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4688908924 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 121300 | KAUAI VETERANS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 | 8083388311 | HAWAII HEALTH SYSTEMS CORPORATION |
| 4643 Waimea Canyon Dr, Waimea, HI 96798 | 8083388311 | KAUAI VETERANS MEMORIAL HOSPITAL |
| Organization Legal Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Hyum-sung Plank | Nurse Practitioner | Hawaii Health Systems Corporation | 2829 Ala Kalani Kaumaka St, B 201, Koloa, HI 96756-8571 |
| Narreinar P Williams | Obstetrics/gynecology | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Beverly E Tumbaga | Nurse Practitioner | Hawaii Health Systems Corporation | 4489 Papalina Rd, Kalaheo, HI 96741-2001 |
| Graham Timothy Chelius | Family Medicine | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Mary L Paul | Internal Medicine | Hawaii Health Systems Corporation | 4489 Papalina Rd, Kalaheo, HI 96741-2001 |
| Surachat Chatkupt | Obstetrics/gynecology | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Ralph A Dupree | Family Medicine | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Elisabeth Biuk-aghai | General Surgery | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Michelle L Tom | Emergency Medicine | Hawaii Health Systems Corporation | 4489 Papalina Rd, Kalaheo, HI 96741-2001 |
| Richard Wayne Fukino | Emergency Medicine | Hawaii Health Systems Corporation | 2829 Ala Kalani Kaumaka St, B 201, Koloa, HI 96756-8571 |
| Street Address |
4643 WAIMEA CANYON DR SUITE B |
| City | WAIMEA |
| State | HI |
| Zip | 96796 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narreinar P Williams | Obstetrics/gynecology | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Graham Timothy Chelius | Family Medicine | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Richard B Lewan | Family Medicine | Kauai Veterans Memorial Hospital | 4643 Waimea Canyon Dr, Waimea, HI 96798 |
| Damien K Chong-hanssen | Family Medicine | Hoola Lahui Hawaii | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Owen V Muana | Internal Medicine | Hoola Lahui Hawaii | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Eliot A Demello | Emergency Medicine | Kauai Veterans Memorial Hospital | 4643 Waimea Canyon Dr, Waimea, HI 96798 |
| John W Gilmore | Internal Medicine | Hoola Lahui Hawaii | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Holly M Poag | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Surachat Chatkupt | Obstetrics/gynecology | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Zoe Howard | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten L B Darrell | Physician Assistant | Hoola Lahui Hawaii | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Ralph A Dupree | Family Medicine | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| Niloufar Naima | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Elisabeth Biuk-aghai | General Surgery | Hawaii Health Systems Corporation | 4643 Waimea Canyon Dr, Suite B, Waimea, HI 96796 |
| William P Berg | Family Practice | Hoola Lahui Hawaii | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Mariano Torres | Internal Medicine | Hoola Lahui Hawaii | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
| Andrew Martin | Psychiatry | Maui Memorial Medical Center | 4643 Waimea Canyon Dr, Waimea, HI 96796-0337 |
| Rory V Oconnor | Gastroenterology | Maui Memorial Medical Center | 4643 Waimea Canyon Dr, Kauai Veterans Memorial Hospital, Waimea, HI 96796-0337 |
| City | WAIMEA |
| Zip Code | 96796 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WAIMEA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Connie M Lutkevich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.