Active NPI
Windward Orthopaedic Group Inc
- Orthopaedic Surgery Physician
- Kailua, HI
National Provider Identifier
1245209162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- WINDWARD ORTHOPAEDIC GROUP INC
- Practice address
- 30 Aulike St
Suite 506
Kailua, HI 96734-2739 - Phone
- (808) 261-4658
- Fax
- (808) 263-2036
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer M Primacio
- Title
- Business Manager
- Phone
- (808) 203-6606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | HI | Primary |
Addresses
Primary practice location
30 Aulike St
Suite 506
Kailua, HI 96734-2739
Mailing address
30 Aulike St Ste 201
Kailua, HI 96734-2750
Phone (808) 261-4658
Other names 1
- Robert L Simmons, MD, Ltd, ETAL A Hawaii General Partnership
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
200 Kalepa Pl
Ste 101
Kahului, HI 96732
200 Kalepa Pl
Kahului, HI 96732
Phone (808) 871-7116
30 Aulike St
#506
Kailua, HI 96734
Phone (808) 261-4658
30 Aulike St
Ste 506
Kailua, HI 96734
Phone (808) 261-4658
46-001 Kamehameha Hwy
Ste 402
Kaneohe, HI 96744
Phone (808) 235-6474
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Kailua, HI
- NPI 1477864429
-
- Orthopaedic Foot and Ankle Surgery Physician
- Kailua, HI
- NPI 1235635707
-
- Orthopaedic Surgery Physician
- Kailua, HI
- NPI 1508127838
-
- Orthopaedic Surgery Physician
- Kailua, HI
- NPI 1508830258
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Kailua, HI
- NPI 1811966740
-
- Orthopaedic Hand Surgery Physician
- Irving, TX
- NPI 1295704781
Orthopaedic Surgery
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Fontana, CA
- NPI 1053380634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695859200000",
"number": "1245209162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 AULIKE ST STE 201",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342750",
"telephone_number": "808-261-4658",
"fax_number": "808-263-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 AULIKE ST",
"address_2": "SUITE 506",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342739",
"telephone_number": "808-261-4658",
"fax_number": "808-263-2036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDWARD ORTHOPAEDIC GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2023-09-28",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "PRIMACIO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "808-203-6606"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert L Simmons, MD, Ltd, ETAL A Hawaii General Partnership",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Robert L Simmons, MD, Ltd, ETAL A Hawaii General Partnership",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kailua, HI
- Samantha Jordan Windh
- Windward Ear, Nose and Throat Clinic Inc.
- Windward Eye LLC
- Windward Heart Center LLC
- Windward Medical Center Inc
- Windward Rehabilitation Services, LLC
- Windward Rehabilitation Services, LLC
- Windward Senior Day Care Center
- Windward Synergy Center
- Windward Vision Center Associates, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.