Organization Active NPI

Keith Stephenson, M.D., Inc

Doing business as Kuhio Walk in Medical Clinic

  • Urgent Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1619439890
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KEITH STEPHENSON, M.D., INC
Doing business as
Kuhio Walk in Medical Clinic
Practice address
2310 Kuhio Ave Ste 223
Honolulu, HI 96815-2983
Phone
(808) 924-6688
Fax
(808) 445-6111
NPI assigned
Apr 5, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Keith Stephenson, MDNPI 1154547768
Title
Owner
Phone
(808) 924-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2310 Kuhio Ave Ste 223
Honolulu, HI 96815-2983

Mailing address

2310 Kuhio Ave Ste 223
Honolulu, HI 96815-2983
Phone (808) 924-6688

Other names 1

  • KUHIO WALK IN MEDICAL CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109000314 HI Part B Supplier - Clinic/Group Practice 1254708985 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2103876Kuhio Walk in Medical Clinic2310 Kuhio Ave Suite 223, Honolulu, HI 96815Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Locations

2310 Kuhio Ave
Ste 223
Honolulu, HI 96815
Phone (808) 674-1600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1619439890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 KUHIO AVE STE 223",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152983",
            "telephone_number": "808-924-6688",
            "fax_number": "808-445-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 KUHIO AVE STE 223",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152983",
            "telephone_number": "808-924-6688",
            "fax_number": "808-445-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH STEPHENSON, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-924-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KUHIO WALK IN MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.