Active NPI
Wynette Y Kitajima M.D Inc
- Physical Medicine & Rehabilitation Physician
- Kealakekua, HI
National Provider Identifier
1922174044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- WYNETTE Y KITAJIMA M.D INC
- Practice address
- 81-990 Halekii St
Kealakekua, HI 96750-8104 - Phone
- (808) 322-8831
- Fax
- (808) 322-6443
- NPI assigned
- Nov 28, 2006
- Last updated
- Oct 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wynette Y Kitajima, M.D.
- Title
- President
- Phone
- (808) 322-8831
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | HI | Primary |
Addresses
Primary practice location
81-990 Halekii St
Kealakekua, HI 96750-8104
Mailing address
PO Box 10
Kealakekua, HI 96750-0010
Phone (808) 322-8831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00235001 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Kealakekua, HI
- NPI 1528068343
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1649395666
-
- Family Nurse Practitioner
- Medford, OR
- NPI 1538550587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287100800000",
"number": "1922174044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967500010",
"telephone_number": "808-322-8831",
"fax_number": "808-322-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81-990 HALEKII ST",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967508104",
"telephone_number": "808-322-8831",
"fax_number": "808-322-6443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYNETTE Y KITAJIMA M.D INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2010-10-15",
"status": "A",
"authorized_official_last_name": "KITAJIMA",
"authorized_official_first_name": "WYNETTE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-322-8831",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00235001",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.