Organization Active NPI

Windward Obstetrics and Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Kaneohe, HI
National Provider Identifier
1629362389
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WINDWARD OBSTETRICS AND GYNECOLOGY LLC
Practice address
46-001 Kamehameha Hwy Ste 204
Kaneohe, HI 96744-3724
Phone
(808) 235-8000
NPI assigned
May 30, 2011
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dr. Li-Duen Clark, MDNPI 1265731038
Title
Owner
Phone
(808) 235-8000

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

46-001 Kamehameha Hwy Ste 204
Kaneohe, HI 96744-3724

Mailing address

46-001 Kamehameha Hwy Ste 204
Kaneohe, HI 96744-3724
Phone (808) 235-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000675 HI Part B Supplier - Clinic/Group Practice 2860661428 Receives reassigned benefits from 2 practitioners
Practice locations: Kaneohe, 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
12D2027994Windward Obstetrics and Gynecology Inc46-001 Kamehameha Hwy Ste 204B, Kaneohe, HI 96744Provider-performed microscopyAug 4, 2027
12D2028355Windward Obstetrics and Gynecology46-001 Kamehameha Highway #204a, Kaneohe, HI 96744Provider-performed microscopyAug 14, 2027

National Provider Directory

National Provider Directory

Locations

46-001 Kamehameha Hwy
Ste 204
Kaneohe, HI 96744
Phone (808) 235-8000

Practitioners & affiliated clinicians

Practitioners 2

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": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1629362389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 204",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724",
            "telephone_number": "808-235-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 204",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724",
            "telephone_number": "808-235-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD OBSTETRICS AND GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LI-DUEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-235-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.