Organization Active NPI

Maui Kidney Disease, Inc.

  • Nephrology Physician
  • Kihei, HI
National Provider Identifier
1194909986
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MAUI KIDNEY DISEASE, INC.
Practice address
567 Kupulau Dr
Kihei, HI 96753-6316
Phone
(808) 280-9638
Fax
(844) 342-7003
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Loma Harrison Hassell II, MD
Title
President
Phone
(808) 280-9638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

567 Kupulau Dr
Kihei, HI 96753-6316

Mailing address

PO Box 811
Kihei, HI 96753-0811
Phone (808) 280-9638

Other practice location 1

105 Mauilani Pkwy
Suite 100
Wailuku, HI 96793-2442
Phone (808) 442-7777

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": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1194909986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967530811",
            "telephone_number": "808-280-9638",
            "fax_number": "844-342-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 KUPULAU DR",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536316",
            "telephone_number": "808-280-9638",
            "fax_number": "844-342-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Mauilani Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932442",
            "country_code": "US",
            "telephone_number": "808-442-7777",
            "fax_number": "808-442-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAUI KIDNEY DISEASE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "HASSELL",
        "authorized_official_first_name": "LOMA",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-280-9638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.