Anita P Waterford, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DOS-1273 Issued in HI

Practice address

1881 Nani St
Wailuku, HI 96793-1811

Phone

(808) 871-7772

Fax

(808) 872-4029

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Clinic of Maui, Inc.

  • Community Health Clinic/Center
  • Wailuku, HI
  • NPI 1528042561
  Medicare reassignment NPD
• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  Medicare reassignment NPD
• Community Clinic of Maui Inc

  • Community Health Clinic/Center
  • Lahaina, HI
  • NPI 1053564526
  NPD
• Community Clinic of Maui, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kahului, HI
  • NPI 1467346916
  NPD
• Community Clinic of Maui, Inc.

  • Community Health Clinic/Center
  • Lahaina, HI
  • NPI 1619721263
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1528082708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931811",
            "telephone_number": "808-871-7772",
            "fax_number": "808-872-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931811",
            "telephone_number": "808-871-7772",
            "fax_number": "808-872-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hoohui Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Lahaina",
            "state": "HI",
            "postal_code": "967619259",
            "country_code": "US",
            "telephone_number": "808-871-7772",
            "fax_number": "808-872-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670A Waiale Rd Apt A",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932339",
            "country_code": "US",
            "telephone_number": "808-871-7772",
            "fax_number": "808-872-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERFORD",
        "first_name": "ANITA",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "A136906",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "DOS-1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Schuyler Wallace
• Nicholas Wallace
• Cordia Wan, MD
• Sarah Ahmad Waseeq
• Linda B. Wasson, QCSW(LCSW)
• Sara Watkins, LCSW, CSAC
• Joyce L Watson Bialeck, RN
• Ashley Lyn Welch, RN
• Georgia Welch
• Jennifer Welcome

• Pediatrics Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.

Verify at the official NPI Registry.