Hawaii Center for Regenerative Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD-10575 Issued in HI

Legal business name

HAWAII CENTER FOR REGENERATIVE MEDICINE LLC

Practice address

136A Ululani Street
Hilo, HI 96720-2946

Phone

(808) 933-3444

Fax

(808) 933-3433

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Liza Rosela Maniquis-Smigel, MDNPI 1306954847

Title

Provider/Owner

Phone

(808) 933-3444

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

Liza Maniquis Smigel MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liza Maniquis-Smigel, M.D., LLC

  • Non-Pharmacy Dispensing Site
  • Hilo, HI
  • NPI 1871837302
  NPD tax ID

Locations

Practitioners 2

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

• Liza R Maniquis-Smigel, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Hilo, HI
  • NPI 1306954847
  Medicare reassignment NPD Authorized official
• Maya Daliza Smigel

  • Student in an Organized Health Care Education/Training Program
  • Hilo, HI
  • NPI 1013869379
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1851400634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136A ULULANI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202946",
            "telephone_number": "808-933-3444",
            "fax_number": "808-933-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136A ULULANI STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202946",
            "telephone_number": "808-933-3444",
            "fax_number": "808-933-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII CENTER FOR REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MANIQUIS-SMIGEL",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "ROSELA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "808-933-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD-10575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SVC ASSOC",
            "identifier": "00C022405-9",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "362562300",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248808-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hawaii Advanced Wound Care
• Hawaii Behavioral Health
• Hawaii Case Management
• Hawaii Cataract and Laser Institute Hilo LLC
• Hawaii Center for Aquatic Rehabilitation, Inc.
• Hawaii Childrens Center
• Hawaii College of Oriental Medicine
• Hawaii Counseling and Wellness LLC
• Hawaii County Economic Opportunity Council
• Hawaii Dental Group, Inc.

• Physical Medicine & Rehabilitation Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Physical Medicine & Rehabilitation Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.