Hawaii Advanced Vascular Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HAWAII ADVANCED VASCULAR CENTER

Practice address

1248 Kinoole St Ste 104
Hilo, HI 96720-4171

Phone

(808) 953-0363

Fax

(931) 208-3615

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Ryan Smith, MDNPI 1639157365

Title

Owner

Phone

(808) 953-0363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 3

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

• Ryan Michael Smith, DO, FACC

  • Cardiovascular Disease Physician
  • Kaneohe, HI
  • NPI 1639157365
  Medicare reassignment NPD Authorized official
• Turgut Berkmen, MD

  • Vascular & Interventional Radiology Physician
  • New Haven, CT
  • NPI 1346232683

  HI

  Medicare reassignment NPD
• Junelynn Belvis, APRN

  • Acute Care Nurse Practitioner
  • Kaneohe, HI
  • NPI 1669188009
  NPD (past)

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1184405458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE ST STE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-953-0363",
            "fax_number": "931-208-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE ST STE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-953-0363",
            "fax_number": "931-208-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII ADVANCED VASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-953-0363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Renee Wilson Hasting, LPC-S
• Yoko Hatada
• Cassie Hattori-Hassard
• Heidi Hauki
• Stacy Haumea, R.D.N. C.D.E.
• Hawaii Advanced Wound Care
• Hawaii Behavioral Health
• Hawaii Case Management
• Hawaii Cataract and Laser Institute Hilo LLC
• Hawaii Center for Aquatic Rehabilitation, Inc.

• Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.