Restivo Plastic Surgery-Maui

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A9243 Issued in CA

Legal business name

RESTIVO PLASTIC SURGERY-MAUI

Practice address

100 Wailea Ike Dr Unit 7
Wailea, HI 96753-9514

Phone

(808) 868-3888

Fax

(808) 868-3003

NPI assigned

May 5, 2015

Last updated

May 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry Restivo, DONPI 1609036425

Title

DO

Phone

(808) 868-3888

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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.

• Terry Ellen Restivo, MA DO

  • Surgery Physician
  • Wailea, HI
  • NPI 1609036425
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1437536836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WAILEA IKE DR UNIT 7",
            "city": "WAILEA",
            "state": "HI",
            "postal_code": "967539514",
            "telephone_number": "808-868-3888",
            "fax_number": "808-868-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WAILEA IKE DR UNIT 7",
            "city": "WAILEA",
            "state": "HI",
            "postal_code": "967539514",
            "telephone_number": "808-868-3888",
            "fax_number": "808-868-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTIVO PLASTIC SURGERY-MAUI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "808-868-3888",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "P0927",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A9243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609036425",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jcolson DDS Inc (Wailea Dental)
• Maui Psychiatry LLC
• Jeffrey Charles Olson, DDS
• Jezrelle Caras Rafols, NP
• Resort Medicine LLC (Resort Medicine of Wailea)
• Terry Ellen Restivo, MA DO
• Telerad of Hi Account Management LLC
• Danielle Marie Tevis, RBT
• Theraputic Fusion: Physical Therapy & Wellness, LLC
• Courtney Lea Truax, NP, DNP

• Plastic Surgery Physician in Wailea, HI
• Providers in Wailea, HI by specialty
• Plastic Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.