Kenneth Edwards, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

46-001 Kamehameha Hwy Ste 109
Kaneohe, HI 96744-3724

Phone

(808) 247-7596

NPI assigned

Jul 20, 2016

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.edwards@24530103894020.direct.elationemr.com
• Direct secure messaging: kenneth.edwards@809341831872516.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Windward Urgent Care Services, L.L.C

  • Urgent Care Clinic/Center
  • Kaneohe, HI
  • NPI 1467854125
  Medicare reassignment
• Portner Orthopedic Rehabilitation Incorporated

  • Physical Medicine & Rehabilitation Physician
  • Kaneohe, HI
  • NPI 1316087315
  NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1780037234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 109",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 109",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724",
            "telephone_number": "808-247-7596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46-001 Kamehameha Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967443720",
            "country_code": "US",
            "telephone_number": "808-234-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KENNETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr.Kathy Iida, Optometrist Inc.
• Julia Raven Du Maurier
• Suzanne L. Dunn, PA-C
• Danielle Eakins, PHD
• Donald C Edelheit, MD
• Edwin N. Tasaki D.D,S., Inc.
• Lucy Kahn Egesdal, DO
• Eleu Physical Therapy
• Corina Elmore, RN
• Dirk Taylor Elting, PH.D.

• Physician Assistant in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.