Active NPI
Windward Medical Center Inc
- Family Medicine Physician
- Kailua, HI
National Provider Identifier
1790858371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD3219
- Legal business name
- WINDWARD MEDICAL CENTER INC
- Practice address
- 407 Uluniu St
Suite 103
Kailua, HI 96734-2530 - Phone
- (808) 261-9700
- Fax
- (808) 261-9609
- NPI assigned
- Nov 15, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dana S Seberg
- Title
- Business Manager and Corporate Secr
- Phone
- (808) 536-3222
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10852 | HI | |
| Family Medicine Physician | 207Q00000X | MD3219 | HI | Primary |
| Internal Medicine Physician | 207R00000X | MD3219 | HI |
Addresses
Primary practice location
407 Uluniu St
Suite 103
Kailua, HI 96734-2530
Mailing address
2324 Nuuanu Ave
Eomc WMC Business Office
Honolulu, HI 96817-1714
Phone (808) 536-3222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493495 | Medicaid | HI | |
| 045209 | Medicaid | HI | |
| 151418 | Other | HMSA | |
| 50329401 | Medicaid | HI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1790858371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 NUUANU AVE",
"address_2": "EOMC WMC BUSINESS OFFICE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171714",
"telephone_number": "808-536-3222",
"fax_number": "808-545-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU ST",
"address_2": "SUITE 103",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342530",
"telephone_number": "808-261-9700",
"fax_number": "808-261-9609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDWARD MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SEBERG",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BUSINESS MANAGER AND CORPORATE SECR",
"authorized_official_telephone_number": "808-536-3222",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "10852",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD3219",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD3219",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493495",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045209",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "151418",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50329401",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.