Organization Active NPI

Windward Heart Center LLC

  • Cardiovascular Disease Physician
  • Kailua, HI
National Provider Identifier
1811189285
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5032 Issued in HI
Legal business name
WINDWARD HEART CENTER LLC
Practice address
25 Maluniu Ave Ste 201
Kailua, HI 96734-5807
Phone
(808) 261-2441
NPI assigned
Aug 9, 2007
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Sonny Wong, MDNPI 1457369571
Title
President
Phone
(808) 347-8159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 5032 HI Primary

Addresses

Primary practice location

25 Maluniu Ave Ste 201
Kailua, HI 96734-5807

Mailing address

PO Box 25490
Honolulu, HI 96825-0490
Phone (808) 536-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000052 HI Part B Supplier - Clinic/Group Practice 2668565144 Receives reassigned benefits from 6 practitioners
Practice locations: Kailua, HI; Waipahu, HI; Kihei, HI; Makawao, HI

National Provider Directory

National Provider Directory

Locations

1380 Lusitana St
Ste 808
Honolulu, HI 96813
Phone (808) 439-6201

25 Maluniu Ave
Ste 201
Kailua, HI 96734
Phone (808) 261-2441

641 Kailua Rd
Kailua, HI 96734
Phone (808) 266-6595

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1811189285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25490",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250490",
            "telephone_number": "808-536-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MALUNIU AVE STE 201",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345807",
            "telephone_number": "808-261-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD HEART CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-347-8159",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "5032",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 2, 2009; 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.