Marne J Carmichael Walsh, M.S.,PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

273 Issued in HI

Practice address

670 Ponahawai St Ste 224
Hilo, HI 96720-7829

Phone

(808) 300-1064

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

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.

• John F. Paopao, M.D., Inc.

  • Specialist
  • Hilo, HI
  • NPI 1144513953
  NPD
• Mahinakealo, LLC

  dba Mahinakealo Dermatology

  • Dermatology Physician
  • Hilo, HI
  • NPI 1144844473
  NPD
• Randall H. Hirata M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Hilo, HI
  • NPI 1356864433
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1609892900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HIGHWAY, SUITE J AND K",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-885-4503",
            "fax_number": "808-885-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 224",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207829",
            "telephone_number": "808-300-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL WALSH",
        "first_name": "MARNE",
        "middle_name": "J",
        "credential": "M.S.,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careresource Hawaii
• Susan D Carey, M.S. CCC-SLP
• Lawrence Velasco Cariaga, B.A
• Carlos R. Abeyta MD, LLC
• Serafima Carlson
• Kristina Kananilehua Carmichael
• Carol Wilder MD Inc
• Rick A Carpenter, D.O.
• Denise Lynn Carreira
• Kelcie Carreira

• Physician Assistant in Hilo, HI
• Providers in Hilo, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.