Ke Ola Pono Ohana Family Medicine Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD - 18089 Issued in HI

Legal business name

KE OLA PONO OHANA FAMILY MEDICINE CLINIC, LLC

Practice address

99-128 Aiea Heights Dr
Suite 505
Aiea, HI 96701-3925

Phone

(808) 536-0300

Fax

(808) 536-0320

NPI assigned

Jun 25, 2015

Last updated

Aug 17, 2015By 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

Dr. Melanie M Payanal, M.D.NPI 1164782371

Title

Ceo

Phone

(808) 536-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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.

• Melanie Moanikeala Payanal, M.D.

  • Family Medicine Physician
  • Mililani, HI
  • NPI 1164782371
  Medicare reassignment NPD Authorized official
• Stephen S Kato, D.C.

  • Chiropractor
  • Aiea, HI
  • NPI 1770687337
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1689056699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 S BERETANIA ST",
            "address_2": "SUITE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132551",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "SUITE 505",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013925",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KE OLA PONO OHANA FAMILY MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "PAYANAL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-536-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD - 18089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akiko Kawai, MD
• Burt Kawamoto, DDS
• Nina Ho Kayo, MD
• Christopher Kazama
• Kci USA, Inc. (Solventum Advanced Wound Care)
• Jaylene Kealohi
• Arlene-Anela Kekoolani
• Quinn Kelley
• Emily Kelly
• Jayden Kelso

• Family Medicine Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.