Leeward Radiation Oncology

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

RT0002 Issued in HI

Legal business name

LEEWARD RADIATION ONCOLOGY

Practice address

91-2135 Fort Weaver Rd
Ste B120
Ewa Beach, HI 96706-1929

Phone

(808) 678-9000

Fax

(808) 677-1040

NPI assigned

Jun 17, 2005

Last updated

Oct 14, 2008By 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

Rae Mamea

Title

Office Manager

Phone

(808) 678-9000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1457356164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD",
            "address_2": "STE B120",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-678-9000",
            "fax_number": "808-677-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD",
            "address_2": "STE B120",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-678-9000",
            "fax_number": "808-677-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWARD RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MAMEA",
        "authorized_official_first_name": "RAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-678-9000"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "HI",
            "license": "RT0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24785101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Lee
• Kepuanani Michele Lee
• Phakhanun Srinuan Lee
• Shawna Ann Gaby-O Lee
• Shay J Lee, M.D.
• Leeward Therapy and Community (Leeward Community & Therapy Supports)
• Leeward Therapy and Community Supports
• Josephine Sage Lehman
• Leisure Eccentric Body Massage (Massage therapist)
• Anthony Leite

• Radiation Oncology Clinic/Center in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Radiation Oncology Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.