Active NPI
Maxi L Lohrengel-West, PA
- Physician Assistant
- Kihei, HI
National Provider Identifier
1376678565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD-512
- Practice address
- 34 Wailea Gateway PL Ste a-203
Kihei, HI 96753-6525 - Phone
- (808) 879-1859
- NPI assigned
- Feb 21, 2007
- Last updated
- Oct 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 56372 | CA | |
| Physician Assistant | 363A00000X | AMD-512 | HI | Primary |
Addresses
Primary practice location
34 Wailea Gateway PL Ste a-203
Kihei, HI 96753-6525
Mailing address
34 Wailea Gateway PL Ste a-203
Kihei, HI 96753-6525
Phone (808) 879-1859
Other practice location 1
16-643 Kipimana St Ste 20
Keaau, HI 96749-8002
Phone (808) 249-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56372 | CA | MD | Pharmacist |
Organizations & group practices 3
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.
-
- Specialist
- Kihei, HI
- NPI 1255475752
-
- Internal Medicine Physician
- Wailuku, HI
- NPI 1215963970
-
- Gynecology Physician
- Kihei, HI
- NPI 1275104739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1376678565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 WAILEA GATEWAY PL STE A-203",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536525",
"telephone_number": "808-879-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 WAILEA GATEWAY PL STE A-203",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536525",
"telephone_number": "808-879-1859"
}
],
"practiceLocations": [
{
"address_1": "16-643 Kipimana St Ste 20",
"address_purpose": "LOCATION",
"city": "Keaau",
"state": "HI",
"postal_code": "967498002",
"country_code": "US",
"telephone_number": "808-249-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOHRENGEL-WEST",
"first_name": "MAXI",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "56372",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD-512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kihei, HI
- Timothy Lindsey, M.A.
- Barbara Liniger
- Mark David Lipetz, MD
- David Litman
- Felicitas B. Livaudais, MD
- Lomi Hanamana LLC
- Longs Drug Stores California LLC (Longs Drugs #04492)
- Longs Drug Stores California LLC (Longs Drugs #09303)
- Longs Drug Stores California, Inc. (Longs Drug Store #303)
- Longs Drug Stores California, Inc. (Longs Drug Store #708)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.