Active NPI
Hale Le'a Medicine LLC
- Physician Assistant
- Kilauea, HI
National Provider Identifier
1013050525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD-67
- Legal business name
- HALE LE'A MEDICINE LLC
- Practice address
- 2460 Oka St
#101
Kilauea, HI 96754 - Phone
- (808) 828-2885
- Fax
- (808) 828-0119
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Matthew Rogoff, MD
- Title
- Partner
- Phone
- (808) 828-2885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD-67 | HI | Primary |
Addresses
Primary practice location
2460 Oka St
#101
Kilauea, HI 96754
Mailing address
2460 Oka St
#101
Kilauea, HI 96754
Phone (808) 828-2885
National Provider Directory
National Provider DirectoryLocations
2460 Oka St
Ste 101
Kilauea, HI 96754
Phone (808) 828-2885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Anchorage, AK
- NPI 1477976892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013050525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 OKA ST",
"address_2": "#101",
"city": "KILAUEA",
"state": "HI",
"postal_code": "96754",
"telephone_number": "808-828-2885",
"fax_number": "808-828-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 OKA ST",
"address_2": "#101",
"city": "KILAUEA",
"state": "HI",
"postal_code": "96754",
"telephone_number": "808-828-2885",
"fax_number": "808-828-0119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALE LE'A MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROGOFF",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "808-828-2885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD-67",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kilauea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.