Stat Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

W2035225401 Issued in HI

Legal business name

STAT MEDICAL, INC.

Doing business as

STAT Medical, Inc.

Practice address

1804 Hau St
Honolulu, HI 96819-3253

Phone

(808) 848-4663

Fax

(808) 848-0697

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Erwin Young

Title

President

Phone

(808) 848-4663

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• STAT Medical, Inc. Doing business as

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497810451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HAU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193253",
            "telephone_number": "808-848-4663",
            "fax_number": "808-848-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HAU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193253",
            "telephone_number": "808-848-4663",
            "fax_number": "808-848-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-848-4663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "W2035225401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01244001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMERLIN",
            "identifier": "192206",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA, INC.",
            "identifier": "192206",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SVC ASSN.",
            "identifier": "A013134",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariailiana J Stark, DRPH, RN,APRN,CPNP
• Tesa Lindstrom Stark, CPNP
• Janelle Inkyong Shimooka Starmer, LCSW, CSAC
• Michael Starr
• Gloria Stasik, DAC
• Stat Partners LLC
• State of Hawaii Department of Education
• State of Hawaii Department of Health
• State of Hawaii Department of Health
• State of Hawaii Department of Health

• Durable Medical Equipment & Medical Supplies in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Durable Medical Equipment & Medical Supplies in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.