Punahele Associates, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PUNAHELE ASSOCIATES, LLC

Practice address

82 Puuhonu Place
Ste 100
Hilo, HI 96720-2010

Phone

(808) 969-9669

Fax

(808) 969-9608

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Carol Kekauoha, R.N.

Title

Administrator

Phone

(808) 969-9669

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hilo Community Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Listed as

Hilo Community Surgery CenterCCN 12C0001010

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hilo Benioff Medical Center

  • Anesthesiology Physician
  • Hilo, HI
  • NPI 1235981614

  Member Of

  NPD member

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1891759601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PLACE",
            "address_2": "STE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-969-9669",
            "fax_number": "808-969-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PLACE",
            "address_2": "STE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-969-9669",
            "fax_number": "808-969-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNAHELE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "KEKAUOHA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-969-9669",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0224519",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52061001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilo Community Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Kamailelaulii Puluole-Mitchell
• Puna Plantation Hawaii, LTD.
• Puna Plantation Hawaii, LTD.
• Puna Plantation Hawaii, LTD.
• Puna Plantation Hawaii, LTD.
• Lisa Purdom
• Lori Pusateri, L.AC.
• Alika B Querubin, MSW, LCSW
• Sean Quinlan
• Erik Nathaniel Quintana

• Ambulatory Surgical Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Ambulatory Surgical Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.