Samuel Ernest William Johnsen (NPI# 1669491858, PAC ID# 1456486315) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669491858 |
| PAC ID by PECOS | 1456486315 |
| Professional Enrollment ID | I20100317000222 |
| Full Name | Samuel Ernest William Johnsen |
| Organization Legal Name | LAULEA HEALTH CENTER LLC |
| Address |
180 Dickenson St Suite 103 Lahaina HI 96761-1215 |
| Phone Number | 8082145985 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0648517979 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120002 | MAUI MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 180 Dickenson St, Suite 103, Lahaina, HI 96761-1215 | 8082145985 | LAULEA HEALTH CENTER LLC |
| Organization Legal Name | LAULEA HEALTH CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tim Taikyo Kaneda | Physician Assistant | Laulea Health Center LLC | 180 Dickenson St, Suite 103, Lahaina, HI 96761-1215 |
| Street Address |
180 DICKENSON ST SUITE 103 |
| City | LAHAINA |
| State | HI |
| Zip | 96761-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley K Wilcox | Physical Therapy | Lahaina Physical Therapy LLC | 180 Dickenson St, Suite 206, Lahaina, HI 96761-1215 |
| Darren K Egami | Orthopedic Surgery | 180 Dickenson St, Suite 209, Lahaina, HI 96761-1215 | |
| Stevan Ra Walton | Chiropractic | Lahaina Health Center, Incorporated | 180 Dickenson St, Suite 204, Lahaina, HI 96761-1215 |
| Brock A Charleston | Physical Therapy | Lahaina Physical Therapy LLC | 180 Dickenson St, Suite 206, Lahaina, HI 96761-1215 |
| Tim Taikyo Kaneda | Physician Assistant | Laulea Health Center LLC | 180 Dickenson St, Suite 103, Lahaina, HI 96761-1215 |
| Amanda Burns | Chiropractic | Lahaina Health Center, Incorporated | 180 Dickenson St, Suite 204, Lahaina, HI 96761-1215 |
| Brittany E Kirkhuff | Physical Therapy | Lahaina Physical Therapy LLC | 180 Dickenson St, Suite 206, Lahaina, HI 96761-1215 |
| Miguel Landron | Physical Therapy | Therapeutic Associates of Maui LLC | 180 Dickenson St, Suite 119, Lahaina, HI 96761-1215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Aaronoff | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Aaron Altura | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Ivy Lou Hibbitt | Nurse Practitioner | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Jason M Laird | Internal Medicine | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Jaimie Mariko Johnson | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Erik L Russell | Internal Medicine | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Daniel Nead | Psychologist, Clinical | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Naomi M Tamparong | Nurse Practitioner | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| John Vaz | Internal Medicine | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Duffy Casey | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Find all physicians in zip 96761 | |||
| City | LAHAINA |
| Zip Code | 96761 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAHAINA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Samuel Ernest William Johnsen.
| 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.