Vanessa Mae Agsalda-rosenbush (NPI# 1376613158, PAC ID# 9234263054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376613158 |
| PAC ID by PECOS | 9234263054 |
| Professional Enrollment ID | I20100816000939 |
| Full Name | Vanessa Mae Agsalda-rosenbush |
| Organization Legal Name | QUEENS DEVELOPMENT CORPORATION AND SUBSIDIARIES |
| Address |
66-125 Kamehameha Hwy Haleiwa HI 96712-1601 |
| Phone Number | 8086375087 |
| Gender | F |
| Medical School | UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810912292 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120004 | WAHIAWA GENERAL HOSPITAL |
| 120001 | THE QUEENS MEDICAL CENTER |
| 120026 | PALI MOMI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 | 8086375087 | QUEENS DEVELOPMENT CORPORATION AND SUBSIDIARIES |
| 377 Keahole St, Honolulu, HI 96825-3405 | 8083966675 | QUEENS DEVELOPMENT CORPORATION AND SUBSIDIARIES |
| Organization Legal Name | QUEENS DEVELOPMENT CORPORATION AND SUBSIDIARIES |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonne Ym Lum | Internal Medicine | Queens Development Corporation and Subsidiaries | 377 Keahole St, Honolulu, HI 96825-3405 |
| Randall Suzuka | Family Medicine | Queens Development Corporation and Subsidiaries | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Edward E Okimoto | Internal Medicine | Queens Development Corporation and Subsidiaries | 599 Farrington Hwy, Suite 201, Kapolei, HI 96707-2028 |
| Stuart S Nakamoto | Internal Medicine | Queens Development Corporation and Subsidiaries | 377 Keahole St, Honolulu, HI 96825-3405 |
| Alina Wang | Family Medicine | Queens Development Corporation and Subsidiaries | 550 S Beretania St, Honolulu, HI 96813-2496 |
| Roderick D Morgann | Internal Medicine | Queens Development Corporation and Subsidiaries | 550 S Beretania St, Honolulu, HI 96813-2496 |
| Gypsy F Paar | Family Medicine | Queens Development Corporation and Subsidiaries | 377 Keahole St, Honolulu, HI 96825-3405 |
| Marie K Yamamotoya | Family Medicine | Queens Development Corporation and Subsidiaries | 550 S Beretania St, Honolulu, HI 96813-2496 |
| Jenny M N Uramoto | Obstetrics/gynecology | Queens Development Corporation and Subsidiaries | 599 Farrington Hwy, Suite 201, Kapolei, HI 96707-2028 |
| Irene Hwang | Family Medicine | Queens Development Corporation and Subsidiaries | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Street Address |
66-125 KAMEHAMEHA HWY |
| City | HALEIWA |
| State | HI |
| Zip | 96712-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Suzuka | Family Medicine | Queens Development Corporation and Subsidiaries | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Irene Hwang | Family Medicine | Queens Development Corporation and Subsidiaries | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Derek I Mito | Family Medicine | Queens Development Corporation and Subsidiaries | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Summer R Teruya | Family Medicine | Queens Development Corporation and Subsidiaries | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Masahisa Amano | Family Medicine | Queens Development Corporation and Subsidiaries | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Kristopher K Bjornson | Psychiatry | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Shigeu Tsutsui | Chiropractic | 66-560 Kamehameha Hwy, Suite 5, Haleiwa, HI 96712-1405 | |
| Thornton V Dilcher | Family Medicine | 66-037 Kamehameha Hwy 103, Haleiwa, HI 96712-1415 | |
| Leland Henry Dao | Family Medicine | 66-150 Kamehameha Hwy, Haleiwa, HI 96712-1440 | |
| Edward Tyler | Physical Therapy | 66-150 Kamehameha Hwy, Haleiwa, HI 96712-1440 | |
| Larissa Awapuhi Cordeira | Psychologist, Clinical | 66-590 Kamehameha Hwy, Suite 2g, Haleiwa, HI 96712-1484 | |
| Dean J Shivvers | Chiropractic | 66-590 Kamehameha Hwy 1b, Haleiwa, HI 96712-1484 | |
| Jacquelyn V Reiser | Physical Therapy | Haleiwa Physical Therapy LLC | 66-590 Kamehameha Hwy, Suite 2f, Haleiwa, HI 96712-1484 |
| Donna Gail Goodwin | Psychologist, Clinical | 66-590 Kamehameha Hwy, Suite 2g, Haleiwa, HI 96712-1484 | |
| Kevin Joseph Fowler | Physical Therapy | Haleiwa Physical Therapy LLC | 66-590 Kamehameha Hwy, Suite 2f, Haleiwa, HI 96712-1484 |
| Virginia A Abshier | Internal Medicine | 66 -214 Haleiwa Rd, Haleiwa, HI 96712-1510 | |
| Find all physicians in zip 96712 | |||
| City | HALEIWA |
| Zip Code | 96712 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HALEIWA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vanessa Mae Agsalda-rosenbush.
| 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.