Malama Pono Health Services

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MALAMA PONO HEALTH SERVICES

Practice address

4366 Kukui Grove St
Suite 207
Lihue, HI 96766-2006

Phone

(808) 246-9577

Fax

(808) 246-9588

NPI assigned

Feb 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mistee Bailey-Myrick

Title

Chief Executive Officer

Phone

(808) 246-9577

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13184/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Angela Bartholomew, FNP

  • Family Nurse Practitioner
  • Kalaheo, HI
  • NPI 1679957278
  NPD (past)
• Carol A Fujiyoshi, MD

  • Obstetrics & Gynecology Physician
  • Lihue, HI
  • NPI 1235174962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1003274325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST",
            "address_2": "SUITE 207",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-246-9577",
            "fax_number": "808-246-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST",
            "address_2": "SUITE 207",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-246-9577",
            "fax_number": "808-246-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA PONO HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY-MYRICK",
        "authorized_official_first_name": "MISTEE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-246-9577"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Madden
• Jaime Magalogo
• Mark Daniel Magelssen, M.D.
• Denise Roberta Maglidt, APRN-RX
• John Mahi
• Ulalena Manoi, RBT
• Krystal Ashley Gray Manuel, RN
• Janis Mardonada, SOCIAL WORKER
• Jeannette M Markham, MSW
• Heidi Bryne Marney

• Public Health or Welfare Agency in Lihue, HI
• Providers in Lihue, HI by specialty
• Public Health or Welfare Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.