Organization Active NPI

The Women'S Health Center of Maui, LLC

  • Specialist
  • Wailuku, HI
National Provider Identifier
1962659714
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD10631 Issued in HI
Legal business name
THE WOMEN'S HEALTH CENTER OF MAUI, LLC
Practice address
30 N Church St
Suite 300
Wailuku, HI 96793-1600
Phone
(808) 242-9787
Fax
(808) 242-4518
NPI assigned
Aug 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Benjamin J. Berry, MD.
Title
Owner/Manager
Phone
(808) 242-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD10631 HI Primary

Addresses

Primary practice location

30 N Church St
Suite 300
Wailuku, HI 96793-1600

Mailing address

30 N Church St
Suite 300
Wailuku, HI 96793-1600
Phone (808) 242-9787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1962659714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N CHURCH ST",
            "address_2": "SUITE 300",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931600",
            "telephone_number": "808-242-9787",
            "fax_number": "808-242-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N CHURCH ST",
            "address_2": "SUITE 300",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931600",
            "telephone_number": "808-242-9787",
            "fax_number": "808-242-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMEN'S HEALTH CENTER OF MAUI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-23",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "808-242-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.