Waikoloa Medical Arts, Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD7441 Issued in HI

Legal business name

WAIKOLOA MEDICAL ARTS, INC.

Practice address

64-1035 Mamalahoa Hwy
Suite K
Kamuela, HI 96743-8440

Phone

(808) 883-9785

Fax

(808) 883-9783

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bayardo Jose Aviles

Title

Administrator

Phone

(808) 960-5792

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel John Bradford, M.D.

  • Family Medicine Physician
  • Reno, NV
  • NPI 1528123254
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1366514291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HWY",
            "address_2": "SUITE K",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-883-9785",
            "fax_number": "808-883-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HWY",
            "address_2": "SUITE K",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-883-9785",
            "fax_number": "808-883-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIKOLOA MEDICAL ARTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "BAYARDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-960-5792",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "MD7441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BCBS HAWAII",
            "identifier": "00A0088581",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06811102",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Alina Vinter, MD
• Sharon Vitousek, M.D.
• Stacy Vroman
• Kelly Mari Wachi, M.D.
• Jacy Lynn Waiau, LMT
• Waimea Medical Associates LLP
• Waimea Pacific Enterprises, LLC (Lyn Lam, M.D.)
• Waimea Primary Care LLC
• Waimea Smiles Inc
• Waimea Wellness Boutique

• Geriatric Medicine (Internal Medicine) Physician in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.