Elevation Medical Imaging Hawaii LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ELEVATION MEDICAL IMAGING HAWAII LLC

Practice address

68-1820 Waikoloa Rd Ste M101M102
Waikoloa, HI 96738

Phone

(307) 690-1523

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Shaun Andrikopoulos

Title

Managing Partner

Phone

(307) 690-1523

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1235730797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7377",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830027377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1820 WAIKOLOA RD STE M101M102",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "307-690-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION MEDICAL IMAGING HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "ANDRIKOPOULOS",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "307-690-1523"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmel Chilton, MASSAGE THERAPIST
• Katelyn Crabtree, MOT, OTR
• Maliealakai Culp, LMT
• Erica Giao Davis
• Donald Elder, MD
• Oliver Evangelista
• Melanie Falcon, LMT
• Lora M Finelli, MT
• Craig G Fostvedt, DDS
• Kristina Anna Fuentes, M.S CCC-SLP

• Diagnostic Radiology Physician in Waikoloa, HI
• Providers in Waikoloa, HI by specialty
• Diagnostic Radiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.