Derek Beaudoin (NPI# 1114570694, PAC ID# 2769710995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1114570694 |
| PAC ID by PECOS | 2769710995 |
| Professional Enrollment ID | I20190826001209 |
| Full Name | Derek Beaudoin |
| Organization Legal Name | ISLAND AUDIOLOGY LLC |
| Address |
140 Hoohana St Suite 206 Kahului HI 96732-2467 |
| Phone Number | 8082500703 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 5092728386 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 140 Hoohana St, Suite 206, Kahului, HI 96732-2467 | 8082500703 | ISLAND AUDIOLOGY LLC |
| 73 -5618 Maiau St, Suite A203, Kailua Kona, HI 96740-2634 | 8083290943 | ISLAND AUDIOLOGY LLC |
| Organization Legal Name | ISLAND AUDIOLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Alpeter | Qualified Audiologist | Island Audiology LLC | 2970 Kele St, Suite 222, Lihue, HI 96766-1822 |
| Eliza Mae Cioffi | Qualified Audiologist | Island Audiology LLC | 140 Hoohana St, Suite 206, Kahului, HI 96732-2467 |
| Robin C Wielins | Qualified Audiologist | Island Audiology LLC | 73 -5618 Maiau St, Suite A203, Kailua Kona, HI 96740-2634 |
| Street Address |
140 HOOHANA ST SUITE 206 |
| City | KAHULUI |
| State | HI |
| Zip | 96732-2467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eliza Mae Cioffi | Qualified Audiologist | Island Audiology LLC | 140 Hoohana St, Suite 206, Kahului, HI 96732-2467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dilworth T Rogers Jr. | Neurosurgery | 39 W Kamehameha Av, Kahului, HI 96732 | |
| Dorene Toutant | Clinical Social Worker | 135 S Wakea Ave, Suite 208, Kahului, HI 96732-1385 | |
| Angela M Peters | Physical Therapy | 135 S Wakea Ave Unit, Suite 112, Kahului, HI 96732-1385 | |
| Luukia Ruidas | Family Medicine | 135 S Wakea Ave, 111 Kupuola Primary Care, Kahului, HI 96732-1385 | |
| Noreen M Erony | Clinical Social Worker | 135 S Wakea Ave, Suite 101, Kahului, HI 96732-1385 | |
| Benjamin T Gamboa | Internal Medicine | 135 S Wakea Ave, Suite 107, Kahului, HI 96732-1385 | |
| Loc P Truong | Optometry | 275 W Kaahumanu Ave, Suite 1010, Kahului, HI 96732-1612 | |
| Juyhun B Kim | Physical Therapy | Amc Corporation | 285 W Kaahumanu Ave, Suite 205, Kahului, HI 96732-1623 |
| Amber M Panebianco | Physical Therapy | Amc Corporation | 285 W Kaahumanu Ave, Suite 205, Kahului, HI 96732-1623 |
| Brooke Bedingfield | Physical Therapy | Amc Corporation | 285 W Kaahumanu Ave, Suite 205, Kahului, HI 96732-1623 |
| Find all physicians in zip 96732 | |||
| City | KAHULUI |
| Zip Code | 96732 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | KAHULUI + QUALIFIED AUDIOLOGIST |
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| 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.