Brandee S Black (NPI# 1477864429, PAC ID# 5698919959) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1477864429 |
| PAC ID by PECOS | 5698919959 |
| Professional Enrollment ID | I20181211003685 |
| Full Name | Brandee S Black |
| Organization Legal Name | WINDWARD ORTHOPAEDIC GROUP |
| Address |
30 Aulike St Suite 201 Kailua HI 96734-2750 |
| Phone Number | 8082614658 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9436245693 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120006 | ADVENTIST HEALTH CASTLE |
| Address | Phone | Organization |
|---|---|---|
| 30 Aulike St, Suite 201, Kailua, HI 96734-2750 | 8082614658 | WINDWARD ORTHOPAEDIC GROUP |
| Organization Legal Name | WINDWARD ORTHOPAEDIC GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devin Selva Ganesh | Orthopedic Surgery | Windward Orthopaedic Group | 30 Aulike St, Suite 201, Kailua, HI 96734-2750 |
| Robert J Medoff | Orthopedic Surgery | Windward Orthopaedic Group | 30 Aulike St, Suite 201, Kailua, HI 96734-2750 |
| Linda J Rasmussen | Orthopedic Surgery | Windward Orthopaedic Group | 30 Aulike St, Suite 201, Kailua, HI 96734-2750 |
| Street Address |
30 AULIKE ST SUITE 201 |
| City | KAILUA |
| State | HI |
| Zip | 96734-2750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan K Tenn | Nurse Practitioner | Castle Medical Center | 30 Aulike St, Suite 303, Kailua, HI 96734-2751 |
| Gerald M Matsuda | Optometry | Windward Vision Center Associates, Inc. | 30 Aulike St, Suite 102, Kailua, HI 96734-2750 |
| Erick R Klein | Nurse Practitioner | Castle Medical Center | 30 Aulike St, Suite 303, Kailua, HI 96734-2751 |
| David A Kuchenbecker | Urology | 30 Aulike St, Suite 602, Kailua, HI 96734-2752 | |
| Stuart K Machida | Optometry | Windward Vision Center Associates, Inc. | 30 Aulike St, Suite 102, Kailua, HI 96734-2750 |
| Kari J Chang Moses | Optometry | Windward Vision Center Associates, Inc. | 30 Aulike St, Suite 102, Kailua, HI 96734-2750 |
| Devin Selva Ganesh | Orthopedic Surgery | Windward Orthopaedic Group | 30 Aulike St, Suite 201, Kailua, HI 96734-2750 |
| Robert J Medoff | Orthopedic Surgery | Windward Orthopaedic Group | 30 Aulike St, Suite 201, Kailua, HI 96734-2750 |
| Johanna Mccroskey | Nurse Practitioner | Castle Medical Center | 30 Aulike St, Suite 501, Kailua, HI 96734-2752 |
| Maria E Wilson | Internal Medicine | Castle Medical Center | 30 Aulike St, Suite 501, Kailua, HI 96734-2752 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Douglas Smith | Psychiatry | 229 Aiokoa St, Kailua, HI 96734-1668 | |
| Raymond I Fodor | Otolaryngology | 970 N Kalaheo Ave, Suite A323, Kailua, HI 96734-1839 | |
| James L Spira | Psychologist, Clinical | 970 N Kalahheo Ave Rm, A314, Kailua, HI 96734-1870 | |
| Philip R Foti | Internal Medicine | 970 N Kalaheo Ave, Suite A307, Kailua, HI 96734-1870 | |
| Rita J Shuford | Clinical Psychologist | Turning Corners Group LLC | 970 N Kalaheo Ave, Kailua, HI 96734-1870 |
| Glenn T Bessinger | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
| Sarah M Howell | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
| Eun K Strawser | Osteopathic Manipulative Medicine | 970 N Kalaheo Ave, Suite C109, Kailua, HI 96734-1871 | |
| Thomas G Crabtree | Plastic and Reconstructive Surgery | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 | |
| Alan R Spector | Clinical Social Worker | 970 N Kalaheo Ave, Suite C208, Kailua, HI 96734-1872 | |
| Find all physicians in zip 96734 | |||
| City | KAILUA |
| Zip Code | 96734 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | KAILUA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Brandee S Black.
| 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.