Maui Dermatology

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD-12517 Issued in HI

Legal business name

MAUI DERMATOLOGY

Practice address

375 Huku Lii PL
Suite 201
Kihei, HI 96753-8996

Phone

(808) 875-7477

Fax

(808) 879-4585

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

John Marshall Knox II, M.D.

Title

Owner/Physician

Phone

(808) 875-7477

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenny R Malott, M.D.

  • Procedural Dermatology Physician
  • Kihei, HI
  • NPI 1548202203
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1669507331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 HUKU LII PL",
            "address_2": "SUITE 201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538996",
            "telephone_number": "808-875-7477",
            "fax_number": "808-879-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HUKU LII PL",
            "address_2": "SUITE 201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538996",
            "telephone_number": "808-875-7477",
            "fax_number": "808-879-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "808-875-7477",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD-12517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0247906",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00B0247904",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Matsui, PA-C
• Shannon Matsui, RBT
• Maui Chatterbox Speech Therapy L.L.C.
• Maui Chest Medicine, Inc
• Maui Day Care Center for Senior Citizens and Disabled, Inc.
• Maui Diagnostic Imaging LLC
• Maui Hand Therapy
• Maui Hand Therapy, LLC
• Maui Kidney Disease, Inc.
• Maui Learning Academy LLC

• Specialist in Kihei, HI
• Providers in Kihei, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.