Elizabeth Eleanor Mannick, M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

13829 Issued in HI

Practice address

39 Kamehameha Avenue
Suite B
Kahului, HI 96732-2263

Phone

(808) 877-2424

Fax

(808) 877-6464

NPI assigned

Jul 9, 2006

Last updated

Oct 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabeth E Mannick MD a Professional Corporation

  • Pediatric Gastroenterology Physician
  • Kahului, HI
  • NPI 1467611939
  Authorized official Same address or phone
• Maui Gastroenterology Inc

  • Specialist
  • Kahului, HI
  • NPI 1073675245
  NPD (past)
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1306879747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 EHU RD",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967687261",
            "telephone_number": "808-283-6725",
            "fax_number": "808-877-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KAMEHAMEHA AVENUE",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322263",
            "telephone_number": "808-877-2424",
            "fax_number": "808-877-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNICK",
        "first_name": "ELIZABETH",
        "middle_name": "ELEANOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "HI",
            "license": "13829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lettitia-Nadine Mei-Ling Maika
• Brent Norman Maither, RBT
• Malama NA Makua a Keiki (Malama Family Recovery Center)
• Monika A. Malecha, M.D.
• Nancy Siyang Manglallan-Yang, MD
• Hoala NA'Kamakani Mano
• Brady Manor
• Diana Marin
• Anella Mark, APRN
• Patrick Markey

• Pediatric Gastroenterology Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Pediatric Gastroenterology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.