Maui Orthopedic Institute LLC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

Legal business name

MAUI ORTHOPEDIC INSTITUTE LLC

Practice address

1830 Wells St Ste 103
Wailuku, HI 96793-2365

Phone

(808) 649-1487

Fax

(808) 437-2512

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Thielen, MDNPI 1801162797

Title

Ceo

Phone

(808) 649-1487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI2 enrollments

Enrollment records 2

Practitioners 4

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

• Zachary Thielen

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Wailuku, HI
  • NPI 1801162797
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Newman, PA-C

  • Surgical Physician Assistant
  • Wailuku, HI
  • NPI 1851863419
  Medicare reassignment Care Compare group
• Jonathan-James Tadao Eno, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wailuku, HI
  • NPI 1669738290
  Medicare reassignment NPD
• Rachel Lynn Vigliotti, PA-C

  • Medical Physician Assistant
  • Lahaina, HI
  • NPI 1497260640
  Medicare reassignment

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1841891744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST STE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-649-1487",
            "fax_number": "808-437-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST STE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-649-1487",
            "fax_number": "808-437-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI ORTHOPEDIC INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "THIELEN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-649-1487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maui Pharmacy Solutions LLC
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• Maui Pharmacy Solutions LLC
• Maui Pharmacy Solutions LLC

• Adult Reconstructive Orthopaedic Surgery Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.