Maui Health System a Kaiser Foundation Hospitals LLC
Organization Active NPI Specialist · Wailuku, HI
NPI 1669834016 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1669834016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
- Practice address
- 221 Mahalani St
Wailuku, HI 96793 - Phone
- (808) 244-9056
- NPI assigned
- Mar 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Joyce Tamori
- Title
- VP, Cfo
- Phone
- (808) 243-3095
Other NPIs on the same Medicare enrollment 7
Member of 1
Practitioners 133
-
Peter John Angleton, M.D.
-
Nicole M. Apoliona, M.D.
-
Wazhma Aslamy, M.D.
-
William E. Bodenstab, M.D.
-
Teresa L Caffiero, PHYSICIAN ASSISTANT
-
Jason T Call, MD
-
Sissi Cao, MD
-
Diane Coulter, M.D.
-
Jeffrey M Cryan, M.D.
-
Tracy A Dorheim, M.D.
-
David Dowhan, M.D.
-
Steven D Filardo, M.D.
-
Jorge Enrique Guzman, M.D.
-
Marny Hall-Moriyasu, MSN
-
Karin M Halvorson, M.D.
-
Jared Wade Hornberger, D.O.
-
Khadil Karim Hosein, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170725002612 | HI | Part B Supplier - Clinic/Group Practice | 9830476159 |
Receives reassigned benefits from 139 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kula, HI; Wailuku, HI; Lanai City, HI |
National Provider Directory
Locations
95 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 244-1444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | HI | Yes |
Addresses
Primary practice location
221 Mahalani St
Wailuku, HI 96793
Mailing address
221 Mahalani St
Wailuku, HI 96793-2581
NPI Registry JSON
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630627200000",
"number": "1669834016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "96793",
"telephone_number": "808-244-9056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-24",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A",
"authorized_official_last_name": "TAMORI",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "VP, CFO",
"authorized_official_telephone_number": "808-243-3095"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
- Maui Christian Counseling Professional Corporation
- Maui Day Care Center for Senior Citizens and Disabled, Inc.
- Maui Dental Professionals LLC
- Maui Diagnostic Imaging LLC
- Maui Health System a Kaiser Foundation Hospitals LLC
- Maui Health System a Kaiser Foundation Hospitals LLC
- Maui Heart & Lung, LLC
- Maui Infectious Diseases LLC
- Maui Integrative Medicine
- Maui Kidney Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.