CASTLE MEDICAL CENTER (NPI# 1053397695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053397695 |
| Entity Type | Organization |
| Organization Name | CASTLE MEDICAL CENTER |
| Practice Address |
640 Ulukahiki St Kailua HI 96734-4454 |
| Practice Telephone | 8082635142 |
| Mailing Telephone | 8082635142 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DALE NORTHROP (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 8082635142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948519 | Castle Medical Center | Clinic/Center | 55-510 Kamehameha Hwy Laie, Suite 5, Laie, HI 96762-1119 | 2015-07-20 |
| 1659409266 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1679540264 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 46 001 Kamehameha Hwy, Suite 108, Kaneohe, HI 96744 | 2006-03-02 |
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1710336011 | Castle Medical Center | Internal Medicine | 30 Aulike St, Suite 501, Kailua, HI 96734-2739 | 2016-06-07 |
| 1902059579 | Castle Medical Center | General Acute Care Hospital | 642 Ulukahiki Street, Kailua, HI 96734-4454 | 2008-10-28 |
| 1497872121 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2007-03-26 |
| 1235262114 | Castle Medical Center | Pharmacy | 640 Ulukahiki St, Inpatient Pharmacy, Kailua, HI 96734 | 2007-03-13 |
| 1588792196 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1588631170 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 642 Ulukahiki St, Ste 101, Kailua, HI 96734 | 2006-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CASTLE MEDICAL CENTER | 640 Ulukahiki St, Kailua, HI 96734-4454 |
| Street Address |
640 ULUKAHIKI ST |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1679190920 | Erica Shea Adcock | Nurse Practitioner | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2020-07-02 |
| 1275047458 | Regina Garrievna Campanelli | Registered Nurse | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2017-11-26 |
| 1154780013 | Valerie A Cacho Md Inc | Internal Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2016-02-19 |
| 1417339326 | Victor W. Galson | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-06-26 |
| 1760864664 | Jennifer G. Lee | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-06-26 |
| 1275922114 | Nicole A Kerr | Dietitian, Registered | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-01-15 |
| 1447666821 | Wilson Internal Medicine, LLC | Internal Medicine | 640 Ulukahiki St, Suite 103, Kailua, HI 96734-4454 | 2014-07-07 |
| 1528472776 | Bennett O. Lee | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734 | 2014-06-16 |
| 1275970915 | Critical Care Hawaii LLC | Anesthesiology | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2013-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688244 | Pamela S Brasher | Nurse Anesthetist, Certified Registered | 640 Ulukahiki Street, Castle Medical Center, Kailua, HI 96734 | 2006-09-13 |
| 1447426812 | Martin W Cornett | Nurse Anesthetist, Certified Registered | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2008-05-05 |
| 1336232842 | Vann Miller | Nurse Anesthetist, Certified Registered | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861844003 | Jeevan Bhatta | Nurse Anesthetist, Certified Registered | 91-1125 Kaileonui St, Ewa Beach, HI 96706-6048 | 2016-07-12 |
| 1528305208 | Pec Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1029 Makolu St, Ste H, Pearl City, HI 96782-2890 | 2013-01-15 |
| 1821388364 | Michael Kalani Rosskopf | Nurse Anesthetist, Certified Registered | 91-212 Keaalii Way, Ewa Beach, HI 96706-4501 | 2011-04-18 |
| 1558459131 | Fred Charles Host | Nurse Anesthetist, Certified Registered | 2237 Pauoa Rd, Honolulu, HI 96813-1508 | 2006-10-10 |
| 1528161635 | Fred O. Foster | Nurse Anesthetist, Certified Registered | 311 Ohua Avenue, #601-a, Honolulu, HI 96815-3647 | 2006-09-06 |
| 1417972845 | Karen Young | Nurse Anesthetist, Certified Registered | 3420 Kuhio Hwy, Lihue, HI 96766-1049 | 2006-07-13 |
| 1306816608 | Dawn M. B. Mccool | Nurse Anesthetist, Certified Registered | 73-1296 Ilau St, Kailua Kona, HI 96740-9333 | 2006-01-26 |
| 1194795526 | Mark S Holland | Nurse Anesthetist, Certified Registered | 25 E Street Ste D1, Hickam, HI 96853-5418 | 2006-01-26 |
| 1902876790 | John W. Dellamanna | Nurse Anesthetist, Certified Registered | #1 Jarret White Ford, Tripler, HI 96578 | 2006-01-24 |
| 1306838370 | Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 4366 Kukui Grove St, Lihue, HI 96766-2006 | 2005-08-16 |
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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.