Maui Integrative Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MAUI INTEGRATIVE MEDICINE

Practice address

233 S Market St
Wailuku, HI 96793-2218

Phone

(310) 529-6891

NPI assigned

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Kelso Binzak, LAC

Title

President

Phone

(310) 529-6891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1164075040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MANO DR",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908527",
            "telephone_number": "310-529-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932218",
            "telephone_number": "310-529-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "KELSO BINZAK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-529-6891",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maui Health System a Kaiser Foundation Hospitals LLC
• Maui Health System a Kaiser Foundation Hospitals LLC
• Maui Health System a Kaiser Foundation Hospitals LLC
• Maui Heart & Lung, LLC
• Maui Infectious Diseases LLC
• Maui Kidney Center LLC
• Maui Kidney Specialist LLC
• Maui Leialoha OB GYN LLC
• Maui Medical Group Inc
• Maui Memorial Emergency Medical Associates Inc

• All providers in Wailuku, HI
• Health Service Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.