NPIMap

Organization Active NPI

Aloha Family Practice Clinic, LLC

  • Primary Care Clinic/Center
  • Lahaina, HI
National Provider Identifier
1164595229
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD6743 Issued in HI
Legal business name
ALOHA FAMILY PRACTICE CLINIC, LLC
Practice address
180 Dickenson St
Suite 103
Lahaina, HI 96761-1215
Phone
(808) 662-5642
Fax
(808) 662-5642
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Mr. Douglas John Schusser
Title
General Manager
Phone
(808) 662-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD6743 HI Primary

Addresses

Primary practice location

180 Dickenson St
Suite 103
Lahaina, HI 96761-1215

Mailing address

180 Dickenson St
Suite 103
Lahaina, HI 96761-1215
Phone (808) 662-5642

Other identifiers 6

IdentifierTypeStateIssuer
191746I1OtherHISUMMERLIN
52799701MedicaidHI
191746I1OtherHIHMA
C063705OtherHIHMSA PIN
05530701MedicaidHI
062570275OtherHIALOHACARE

Other names 1

  • Aloha Clinic Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1164595229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 DICKENSON ST",
            "address_2": "SUITE 103",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611215",
            "telephone_number": "808-662-5642",
            "fax_number": "808-662-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 DICKENSON ST",
            "address_2": "SUITE 103",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611215",
            "telephone_number": "808-662-5642",
            "fax_number": "808-662-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA FAMILY PRACTICE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHUSSER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "808-662-5642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "MD6743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMERLIN",
            "identifier": "191746I1",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52799701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "191746I1",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PIN",
            "identifier": "C063705",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05530701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "062570275",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.