Jennifer A Mathieu (NPI# 1124065354, PAC ID# 4789969064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1124065354 |
| PAC ID by PECOS | 4789969064 |
| Professional Enrollment ID | I20170329001122 |
| Full Name | Jennifer A Mathieu |
| Organization Legal Name | MAUI LANI PHYSICIANS AND SURGEONS LLC |
| Address |
165 Maa St Kahului HI 96732-3603 |
| Phone Number | 8084467120 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0547401317 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 165 Maa St, Kahului, HI 96732-3603 | 8084467120 | MAUI LANI PHYSICIANS AND SURGEONS LLC |
| Organization Legal Name | MAUI LANI PHYSICIANS AND SURGEONS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Ammerman | Obstetrics/gynecology | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Trina Chakravarty | Obstetrics/gynecology | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Christy A Takemoto | Obstetrics/gynecology | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Paige Nichole Cook | Nurse Practitioner | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Nicole Marie Brashear | Nurse Practitioner | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Street Address |
165 MAA ST |
| City | KAHULUI |
| State | HI |
| Zip | 96732-3603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Ammerman | Obstetrics/gynecology | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Trina Chakravarty | Obstetrics/gynecology | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Christy A Takemoto | Obstetrics/gynecology | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Paige Nichole Cook | Nurse Practitioner | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| Nicole Marie Brashear | Nurse Practitioner | Maui Lani Physicians and Surgeons LLC | 165 Maa St, Kahului, HI 96732-3603 |
| 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 | OBSTETRICS/GYNECOLOGY |
| City + Specialty | KAHULUI + OBSTETRICS/GYNECOLOGY |
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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.