Organization Active NPI

STL Medical Services LLC

  • Urgent Care Clinic/Center
  • Lahaina, HI
National Provider Identifier
1306083175
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD-13784 Issued in HI
Legal business name
STL MEDICAL SERVICES LLC
Doing business as
Minit-Medical Urgent Care Clinic
Practice address
305 Keawe St
Suite 507
Lahaina, HI 96761-2734
Phone
(808) 667-6161
Fax
(808) 667-6166
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. Sean S Gupton, MD
Title
Cmo
Phone
(808) 667-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD-13784 HI Primary

Addresses

Primary practice location

305 Keawe St
Suite 507
Lahaina, HI 96761-2734

Mailing address

305 Keawe St
Suite 507
Lahaina, HI 96761-2734
Phone (808) 667-6161

Other names 1

  • Minit-Medical Urgent Care Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1306083175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 KEAWE ST",
            "address_2": "SUITE 507",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612734",
            "telephone_number": "808-667-6161",
            "fax_number": "808-667-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 KEAWE ST",
            "address_2": "SUITE 507",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612734",
            "telephone_number": "808-667-6161",
            "fax_number": "808-667-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STL MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "GUPTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "808-667-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "HI",
            "license": "MD-13784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minit-Medical Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.