JESSE C. MAAG (NPI# 1013006196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013006196 |
| Entity Type | Individual |
| Full Name | JESSE C. MAAG |
| Credential | MD |
| Practice Address |
1292 Waianuenue Ave Hilo HI 96720-1228 |
| Mailing Address |
1285 Waianuenue Ave Hilo HI 96720-1209 |
| Practice Telephone | 8089344000 |
| Mailing Telephone | 8089343014 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD-12230 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BILLING NUMBER | 0000247676 | 01 |
| HI | 555708-02 | 05 |
| Street Address |
1292 WAIANUENUE AVE |
| City | HILO |
| State | HI |
| Zip Code | 96720-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043263973 | Sidney K. Kiriu | Physical Therapist | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2006-05-19 |
| 1730643933 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2019-01-22 |
| 1053568923 | Adam H Adler | Family Medicine | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2008-08-22 |
| 1538320197 | Cheryl K K Aruga | Nurse Practitioner | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2008-06-17 |
| 1508073586 | Matthew C Davies | Emergency Medicine | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-05-17 |
| 1740407840 | Kaiser Foundation Hospitals | Pharmacy | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-04-19 |
| 1386767135 | Kaiser Foundation Health Plan | Clinic/Center | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-04-09 |
| 1386799435 | Thomas P Jimenez | Surgery | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-01-25 |
| 1982757563 | Eileen G Walko | Pediatrics | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-01-18 |
| 1437201787 | Robert Paul Sandstrom | Pharmacist | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124506845 | Big Island Family Medicine Inc | Family Medicine | 670 Ponahawai St Ste 207, Hilo, HI 96720-7830 | 2018-08-03 |
| 1962942003 | Kevin Kurohara, M.d. | Family Medicine | 75 Puuhonu Pl Ste 205, Hilo, HI 96720-2000 | 2017-03-07 |
| 1386027472 | Will Chapple | Family Medicine | 1190 Waianuenue Avenue, Hilo, HI 96720 | 2015-07-07 |
| 1518358613 | Mililani Trask-batti | Family Medicine | 633 Ponahawai St Ste C, Hilo, HI 96720-7601 | 2015-02-10 |
| 1306258272 | Svetlana Shchedrina | Family Medicine | 45 Mohouli St Ste 201, Hilo, HI 96720-7210 | 2014-05-28 |
| 1043658081 | Ka'ohimanu L.k.d. Akiona | Family Medicine | 73 Puuhonu Pl Ste 101, Hilo, HI 96720-2060 | 2013-06-12 |
| 1437417904 | Sachin Narendra Gandhi Rahman | Family Medicine | 1292 Waianuenue Avenue, Hilo, HI 96720 | 2012-05-02 |
| 1518104546 | Alice C. Adee, M.d., Inc. | Family Medicine | 70 Olona St, Hilo, HI 96720-5017 | 2009-01-13 |
| 1457558074 | Christopher S Lawinski | Family Medicine | 110 Haili St, Hilo, HI 96720-2804 | 2007-06-28 |
| 1679779730 | Michelle Anne Mitchell | Family Medicine | 633 Ponahawai St Ste 101, Hilo, HI 96720-7601 | 2007-06-26 |
| Find all providers in HILO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.