Maui Urology, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MAUI UROLOGY, LLC

Practice address

1883 Mill St
Wailuku, HI 96793-1236

Phone

(808) 242-8765

Fax

(808) 242-8769

NPI assigned

May 19, 2019

Last updated

May 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Carlsen

Title

Acting Administrator

Phone

(808) 242-8765

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBGFBD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soren N Carlsen, MD

  • Urology Physician
  • Wailuku, HI
  • NPI 1063568657
  Medicare reassignment Care Compare group NPD
• Alicia Roston, MD

  • Urology Physician
  • Wailuku, HI
  • NPI 1700380029
  Medicare reassignment Care Compare group NPD
• Lindsay Bannon Leggett, PA-C

  • Physician Assistant
  • Wailuku, HI
  • NPI 1598005746
  Medicare reassignment Care Compare group
• Jane Kocivar, M.D.

  • Specialist
  • Wailuku, HI
  • NPI 1467400770
  NPD (past)
• Anthony Thomas Desalvo, M.D.

  • Medical Oncology Physician
  • Abingdon, VA
  • NPI 1750353348
  NPD (past)

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558224000000",
    "number": "1073179669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 MILL ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931236",
            "telephone_number": "808-242-8765",
            "fax_number": "808-242-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 MILL ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931236",
            "telephone_number": "808-242-8765",
            "fax_number": "808-242-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Kanoa St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967935816",
            "country_code": "US",
            "telephone_number": "808-242-8765 x104",
            "fax_number": "808-242-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAUI UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ACTING ADMINISTRATOR",
        "authorized_official_telephone_number": "808-242-8765",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@mauiurology.com",
            "affiliation": "N",
            "endpointDescription": "Administrator Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1883 Mill St",
            "city": "Wailuku",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967931236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maui Physical Therapy Inc.
• Maui Radiology Associates
• Maui Surgery and Colonoscopy Services
• Maui Trauma Surgeons LLP
• Maui Treatment Centers
• Kauanoe Mawae, LCSW
• Ryan May
• Casie McAlinden, LCSW
• Daniel McAlinden, PSY. D.
• Erin McArthur

• Urology Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Urology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.