Kaiulani Wilson Morimoto, MD FACS

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD00036728 Issued in WA

Practice address

12615 E Mission Ave Ste 105
Spokane Valley, WA 99216-1047

Phone

(509) 315-4415

Fax

(509) 315-8204

NPI assigned

Aug 23, 2005

Last updated

Jul 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pamela Kaiulani Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1124011408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 E MISSION AVE STE 105",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161047",
            "telephone_number": "509-315-4415",
            "fax_number": "509-315-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 E MISSION AVE STE 105",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161047",
            "telephone_number": "509-315-4415",
            "fax_number": "509-315-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIMOTO",
        "first_name": "KAIULANI",
        "middle_name": "WILSON",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00036728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8394512",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WILSON",
            "middle_name": "KAIULANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlyn Paige Morgan
• Gary Morgan
• Jonathan Chase Morgan
• Rachael Morgan
• Rebecca F Morgan, L.M.P.
• Ethan A. Moriniti, D.C.
• Kelsi Morris
• Lauren Morris, LMHC
• Jessica Morrison-Dahl, LMHC, CDP, NCC, MAC
• Susan Lynn Morrison-Grussling

• Plastic Surgery Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.