Organization Active NPI

Hale Le'a Medicine LLC

  • Physician Assistant
  • Kilauea, HI
National Provider Identifier
1013050525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-67 Issued in HI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.