Wesley Hagio
Individual provider Active NPI Community Health Worker · Keaau, HI
NPI 1962051029 · NPPES record last updated Sep 10, 2019
Key facts
- NPI
- 1962051029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 16-204 Melekahiwa PL Ste 3
Keaau, HI 96749-8010 - Phone
- (612) 272-8724
- NPI assigned
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
16-204 Melekahiwa PL Ste 3
Keaau, HI 96749-8010
Mailing address
710 Green St
Honolulu, HI 96813-2119
Phone (808) 536-1015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172V00000X | Medicaid | HI |
Other providers in Keaau, HI
- Desiree Furstenwerth
- Jun German Jr.
- Tiphany Anne Gillett
- Kawehi Grimmel
- Jennifer Kananimauloa Grune
- Hale Pu'Uhonua, LLC
- Jessica Haligowski
- Rachael Lorraine Hasner
- Debbie K Hawryliak
- Taylor Hayes
All providers in Keaau, HI · Community Health Worker in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.