Kitagawa Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

15562 Issued in HI

Legal business name

KITAGAWA DERMATOLOGY LLC

Practice address

321 N Kuakini St
Suite 610
Honolulu, HI 96817-2364

Phone

(808) 533-4434

Fax

(808) 533-4435

NPI assigned

Jun 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kory Hiromi Kitagawa, M.D.NPI 1265643423

Title

Physician

Phone

(808) 533-4434

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

Practitioners 3

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

• Kory Hiromi Kitagawa, M.D.

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1265643423
  Medicare reassignment Care Compare group NPD Authorized official
• Kristina Marie Virata Halloran, APRN

  • Family Nurse Practitioner
  • Aiea, HI
  • NPI 1063062834
  Medicare reassignment Care Compare group NPD
• Rocco Laudadio Jr., PHYSICIAN ASSISTANT

  • Physician Assistant
  • Tripler AMC, HI
  • NPI 1942269238
  Medicare reassignment

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1699095232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 610",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-533-4434",
            "fax_number": "808-533-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 610",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-533-4434",
            "fax_number": "808-533-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITAGAWA DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-05",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "KITAGAWA",
        "authorized_official_first_name": "KORY",
        "authorized_official_middle_name": "HIROMI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-533-4434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "HI",
            "license": "15562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Kissinger
• Deborah Kissinger, D.O.
• Kistner Vein Clinic
• Kistner Vein Clinic Inc
• Robert Kistner, M.D.
• Kent Takeo Kitagawa, LMHC
• Kory Hiromi Kitagawa, M.D.
• Blake Kitamura, DDS
• Natalie S Kitamura
• Riley Katsuki Kitamura, M.D.

• Dermatology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dermatology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.