Maui Wellness Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAUI WELLNESS MEDICAL CENTER LLC

Practice address

1300 N Holopono St
Kihei, HI 96753-6945

Phone

(808) 446-7111

Fax

(888) 253-5668

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Marcus L. Griffin, MDNPI 1780774174

Title

Physician / Owner

Phone

(808) 283-2537

Specialties & licenses 1

Addresses

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

Practitioners 1

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

• Marcus Griffin, M.D.

  • Legal Medicine
  • Kihei, HI
  • NPI 1780774174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1083230619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-446-7111",
            "fax_number": "888-253-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-446-7111",
            "fax_number": "888-253-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI WELLNESS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "808-283-2537",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maui Natural Medicine & Physical Therapy LLC
• Maui Pediatric Dentistry
• Maui Psychotherapy LLC
• Maui Recovery LLC (Maui Recovery)
• Maui Speech Therapy, LLC
• Maui's Best Massage LLC
• Patricia Gail McClary
• Charlotte Sorlien McLaughlin, MA
• Pamela McLaughlin, OTR/L
• Jeremiah Michaels, M.A

• Internal Medicine Physician in Kihei, HI
• Providers in Kihei, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.