Hilo Back and Neck Pain Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

HILO BACK AND NECK PAIN CENTER

Practice address

118 Ponahawai St
Hilo, HI 96720-3004

Phone

(808) 464-5195

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By 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

Michelle Wong, MAT9178NPI 1679122196

Title

Massage Therapist

Phone

(808) 741-1242

Specialties & licenses 1

Addresses

Other names 1

• Hilo Neck and Back Pain Center Former legal business name

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.

• Michelle Wong, MAT

  • Massage Therapist
  • Hilo, HI
  • NPI 1679122196
  NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1467000323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PONAHAWAI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203004",
            "telephone_number": "808-464-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PONAHAWAI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203004",
            "telephone_number": "808-464-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO BACK AND NECK PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "808-741-1242",
        "authorized_official_credential": "MAT9178"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilo Neck and Back Pain Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie M Higa, APRN
• Joanna Eleonora Highstein, MD
• Alexis Hill Manuia
• Mario Hill
• Hilo Academic Physicians Inc (The Family Medicine Center)
• Hilo Bay Bodywork
• Hilo Benioff Medical Center
• Hilo Benioff Medical Center
• Hilo Benioff Medical Center
• Hilo Benioff Medical Center

• Pain Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Pain Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.