NPIMap

Organization Active NPI

Big Island Pain Center Inc.

  • Interventional Pain Medicine Physician
  • Hilo, HI
National Provider Identifier
1255683785
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
BIG ISLAND PAIN CENTER INC.
Practice address
32 Ululani St
Hilo, HI 96720-2933
Phone
(808) 934-9675
NPI assigned
Oct 8, 2012
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Dr. Lynn Puana, MDNPI 1427222660
Title
Executive Officer
Phone
(808) 934-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU
Pain Clinic/Center 261QP3300X W5908947001 HI
Occupational Medicine Clinic/Center 261QX0100X W5908947001 HI
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

32 Ululani St
Hilo, HI 96720-2933

Mailing address

8 Cherry Hills Dr
Englewood, CO 80113-4812
Phone (808) 934-9675

Other identifiers 1

IdentifierTypeStateIssuer
62644205MedicaidHI

Other names 1

  • Puana Pain Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121203000141 HI Part B Supplier - Clinic/Group Practice 1254583925 Receives reassigned benefits from 5 practitioners
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

32 Ululani St
Hilo, HI 96720
Phone (808) 934-9675

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1255683785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHERRY HILLS DR",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134812",
            "telephone_number": "808-934-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ULULANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202933",
            "telephone_number": "808-934-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND PAIN CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "PUANA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-934-9675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "HI",
            "license": "W5908947001",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "HI",
            "license": "W5908947001",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62644205",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puana Pain Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Puana Pain Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.