Laulea Health Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LAULEA HEALTH CENTER LLC

Practice address

180 Dickenson St Ste 103
Lahaina, HI 96761-1215

Phone

(808) 344-2053

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Samuel E.W Johnsen, MDNPI 1669491858

Title

Owner

Phone

(808) 866-4931

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Ernest William Johnsen, M.D.

  • Internal Medicine Physician
  • Lahaina, HI
  • NPI 1669491858

  HI

  Medicare reassignment NPD Authorized official
• Tim Taikyo Kaneda, PA-C, M.H.S.

  • Medical Physician Assistant
  • Hilo, HI
  • NPI 1972854099

  HI

  Medicare reassignment

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982105052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UAHAA PL",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932147",
            "telephone_number": "808-419-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 DICKENSON ST STE 103",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611215",
            "telephone_number": "808-344-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAULEA HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E.W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-866-4931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lahaina Health Center, Incorporated
• Lahaina Physical Therapy, Inc.
• Lahaina Smiles Dental Group LLC
• Andrea Laramie, LMT
• Anthony James Lathrop, L.M.T
• Jessica Leal, LMT
• David Wing Lee, DPM
• Heather Leitz
• Michelle Lelle, LMT
• Liberty Dialysis - Hawaii LLC

• All providers in Lahaina, HI
• Medical Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.