Maui Gastroenterology Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD11540 Issued in HI

Legal business name

MAUI GASTROENTEROLOGY INC

Practice address

53 S Puunene Ave
Suite 127
Kahului, HI 96732-2121

Phone

(808) 877-5333

Fax

(808) 877-5335

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By 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

Dr. James T. Hansen, MD, FACP

Title

Owner

Phone

(808) 877-5333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Elizabeth Eleanor Mannick, M.D.

  • Pediatric Gastroenterology Physician
  • Kahului, HI
  • NPI 1306879747
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073675245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE",
            "address_2": "SUITE 127",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322121",
            "telephone_number": "808-877-5333",
            "fax_number": "808-877-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE",
            "address_2": "SUITE 127",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322121",
            "telephone_number": "808-877-5333",
            "fax_number": "808-877-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI GASTROENTEROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-877-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD11540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maui Eye Center LLC
• Maui Family Counseling (Neurofeedback Maui)
• Maui Family Medicine
• Maui Family Wellness Center, LLC
• Maui Family Young Men's Christian Association
• Maui Kids Dentistry LLC
• Maui Lani Physicians and Surgeons LLC
• Maui Mind Care LLC
• Maui Neuro Physical Therapy, LLC
• Maui Neurological Associates Inc

• Specialist in Kahului, HI
• Providers in Kahului, HI by specialty
• Specialist in Hawaii

• 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.