Organization Active NPI

Wynette Y Kitajima M.D Inc

  • Physical Medicine & Rehabilitation Physician
  • Kealakekua, HI
National Provider Identifier
1922174044
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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.NPI 1528068343
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00235001MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000744 HI Part B Supplier - Clinic/Group Practice 3173624483 Receives reassigned benefits from 1 practitioner
Practice locations: Kealakekua, HI

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.