Pono Podiatry, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO-202 Issued in HI

Legal business name

PONO PODIATRY, LLC

Practice address

40 Kupuohi St Ste 204
Lahaina, HI 96761-2714

Phone

(808) 727-2117

Fax

(808) 793-2238

NPI assigned

Nov 12, 2017

Last updated

Jun 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Wing Lee, DPMNPI 1245554138

Title

Owner

Phone

(808) 727-2117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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.

• David Wing Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lahaina, HI
  • NPI 1245554138
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1891208930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KUPUOHI ST STE 204",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612714",
            "telephone_number": "808-727-2117",
            "fax_number": "808-793-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 KUPUOHI ST STE 204",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612714",
            "telephone_number": "808-727-2117",
            "fax_number": "808-793-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONO PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-12",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-727-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "HI",
            "license": "PO-202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Sarae Patch
• Tita Lynette Perez
• Connie Marie Perkins, LM, CPM, BSM
• Shantelle Lea Pierce, MPT
• Lithe Pokipala-Waiohu
• Michelle Pontell
• Positive Pathways LLC (Stephanie Passamonte)
• Ernesto J Prado, MAT 9365
• Vanessa Rene Probert, RBT
• Barry Probst, MFT, CSAC

• Foot Surgery Podiatrist in Lahaina, HI
• Providers in Lahaina, HI by specialty
• Foot Surgery Podiatrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.