Hawaii Pain and Spine LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

19566 Issued in HI

Legal business name

HAWAII PAIN AND SPINE LLC

Practice address

40 Aulike St Ste 411
Kailua, HI 96734-2757

Phone

(808) 452-1379

Fax

(808) 201-4961

NPI assigned

May 17, 2018

Last updated

Oct 7, 2021By 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

Jonathan D Carlson, MDNPI 1538206644

Title

MD

Phone

(808) 452-1379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Jonathan David Carlson, M.D.

  • Interventional Pain Medicine Physician
  • Kailua, HI
  • NPI 1538206644
  Medicare reassignment Authorized official
• Amy Condon, FNP

  • Family Nurse Practitioner
  • Ewa Beach, HI
  • NPI 1952723843
  NPD
• Michael S. Jaffe, DO

  • Physical Medicine & Rehabilitation Physician
  • Kailua, HI
  • NPI 1396893251
  NPD
• William F. Beringer, DO

  • Neurological Surgery Physician
  • Kailua, HI
  • NPI 1073655221
  NPD (past)
• Susan Diane Earls, PA-C

  • Surgical Physician Assistant
  • Santa Fe, NM
  • NPI 1477613891
  NPD (past)

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1619467347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 MAKALOA ST # 204-321",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST STE 411",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342757",
            "telephone_number": "808-452-1379",
            "fax_number": "808-201-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PAIN AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "808-452-1379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "HI",
            "license": "19566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawaii Insight Therapy LLC
• Hawaii Integrative Medicine LLC
• Hawaii Intensive Care LLC
• Hawaii Metabolic Management, LLC (OSR Weight Management)
• Hawaii Neuromonitoring LLC
• Hawaii Physicians & Surgeons Association Inc
• Hawaii Physicians & Surgeons Association LLC
• Hawaii Pulmonary Health Center, LLC
• Hawaii Voice and Speech Studio LLC
• Hawaii Youth Correctional Facility

• Interventional Pain Medicine Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Interventional Pain Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.