Island Orthopedic Surgery, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ISLAND ORTHOPEDIC SURGERY, INC.

Practice address

140 Hoohana St
Suite 209
Kahului, HI 96732-2467

Phone

(808) 871-0778

Fax

(808) 442-0747

NPI assigned

Jun 7, 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. Tetsuto Numata, M.D.NPI 1710921499

Title

President

Phone

(808) 871-0778

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.

• Tetsuto Numata, M.D.

  • Orthopaedic Surgery Physician
  • Kahului, HI
  • NPI 1710921499
  NPD (past) Authorized official

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083654032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967531091",
            "telephone_number": "808-871-0778",
            "fax_number": "808-442-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOOHANA ST",
            "address_2": "SUITE 209",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322467",
            "telephone_number": "808-871-0778",
            "fax_number": "808-442-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ORTHOPEDIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUMATA",
        "authorized_official_first_name": "TETSUTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-871-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imua Family Services
• Infinty Revive
• Colleen Inouye Baum, M.D.
• Island Dental, LLC
• Island Foot and Ankle Specialists LLC
• Amy Jackson Jackson, REGISTERED BT
• Marilyn K Jackson, RN
• Deborah Jacob, PT
• Michael Jacob, PT
• Richard Jaeger, RPH

• Orthopaedic Surgery Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Orthopaedic Surgery Physician 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.