Pueo Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD-17180 Issued in HI

Legal business name

PUEO FAMILY PRACTICE

Practice address

1120A Makawao Ave
Makawao, HI 96768-9448

Phone

(808) 573-2222

Fax

(808) 573-2224

NPI assigned

Mar 1, 2017

Organization subpart

Yes

Parent organization

EAST MAUI MEDICAL CLINICAs reported in NPPES

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

Authorized official

Name

Curtis Bekkum, MDNPI 1699899500

Title

Owner

Phone

(808) 573-2222

Specialties & licenses 1

Addresses

Part of

East Maui Medical Clinic LLP

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• East Maui Medical Clinic, LLP

  • Primary Care Clinic/Center
  • Hana, HI
  • NPI 1346784139
  NPPES parent name

Practitioners 1

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

• Curtis Bekkum, M.D.

  • Family Medicine Physician
  • Hana, HI
  • NPI 1699899500
  NPD Authorized official

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1083154751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120A MAKAWAO AVE",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689448",
            "telephone_number": "808-573-2222",
            "fax_number": "808-573-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120A MAKAWAO AVE",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689448",
            "telephone_number": "808-573-2222",
            "fax_number": "808-573-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEO FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST MAUI MEDICAL CLINIC",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BEKKUM",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-573-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "MD-17180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Pirsch, MC - LMFT
• Lisa Beth Ponichtera, PHD, LMFT, CSAC
• Monique Abbinanti Popovac, D.C.
• Cristina Elizabeth Prokop, A.P.R.N.
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• Pukalani Dental LLP
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• Jennifer Purcell, LMFT

• Clinic/Center in Makawao, HI
• Providers in Makawao, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.