Maui Surgery and Colonoscopy Services

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MAUI SURGERY AND COLONOSCOPY SERVICES

Practice address

85 Maui Lani Pkwy
Wailuku, HI 96793-2416

Phone

(808) 442-5700

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By 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

Calvin A Selwyn, MDNPI 1750359725

Title

Ceo

Phone

(715) 347-3027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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.

• Calvin A Selwyn, MD

  • Surgery Physician
  • Wailuku, HI
  • NPI 1750359725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1962114694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967936239",
            "telephone_number": "715-347-3027",
            "fax_number": "855-827-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAUI LANI PKWY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932416",
            "telephone_number": "808-442-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI SURGERY AND COLONOSCOPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SELWYN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-347-3027",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maui Pharmacy Solutions LLC
• Maui Pharmacy Solutions LLC (Mauliola Pharmacy)
• Maui Pharmacy Solutions LLC (Mauliola Pharmacy)
• Maui Physical Therapy Inc.
• Maui Radiology Associates
• Maui Trauma Surgeons LLP
• Maui Treatment Centers
• Maui Urology, LLC
• Kauanoe Mawae, LCSW
• Ryan May

• Surgery Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.