DR. AMY K REISENAUER (NPI# 1104927110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104927110 |
| Entity Type | Individual |
| Full Name | DR. AMY K REISENAUER |
| Credential | MD |
| Practice Address |
1300 N Holopono St Ste 215 Kihei HI 96753-6945 |
| Practice Telephone | 8088743444 |
| Practice Fax Number | 8088743443 |
| Mailing Telephone | 8088743444 |
| Mailing Fax Number | 8088743443 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD-13436 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 572710-01 | 05 | |
| HI | HMSA BILLING NUMBER | 0000255125 | 01 |
| Street Address |
1300 N HOLOPONO ST STE 215 |
| City | KIHEI |
| State | HI |
| Zip Code | 96753-6945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174624019 | Alan S. W. Song | Dermatology | 1300 N Holopono St Ste 215, Kihei, HI 96753-6945 | 2006-09-25 |
| 1558833111 | Frances Astorga Bacchus | Nurse Practitioner | 1300 N Holopono St Ste 215, Kihei, HI 96753-6945 | 2018-12-20 |
| 1922550987 | Amy Reisenauer Md LLC | Dermatology | 1300 N Holopono St Ste 215, Kihei, HI 96753-6945 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490414 | Rheumatology Associates of Maui, LLC | Internal Medicine | 1444 S. Kihei Rd, Kihei, HI 96753 | 2020-09-01 |
| 1184259475 | Lindsey Therapy Services, LLC | Marriage & Family Therapist | 1847 South Kihei Rd., #205, Kihei, HI 96753 | 2020-03-06 |
| 1558922955 | Michaek Kalani Dacquel | Massage Therapist | 310 Ohukai Rd #312, Kihei, HI 96753 | 2019-06-26 |
| 1356830772 | Marc Kross Md Inc | Surgery | 30 E Lipoa St Unit 4108, Kihei, HI 96753 | 2018-05-02 |
| 1346793114 | Debra Bayer Inc | Substance Abuse Rehabilitation Facility | 1325 S Kihei Rd Ste 215, Kihei, HI 96753 | 2016-07-28 |
| 1912312364 | Lara Harvey | Marriage & Family Therapist | 1325 South Kihei Road, Suite 226b, Kihei, HI 96753 | 2014-06-24 |
| 1851735807 | Jeffrey Charles Olson | Dentist | 161 Wailea Ike Dr, Ste B104, Wailea, HI 96753 | 2013-04-22 |
| 1699016097 | Sky Lillian Sarah Connelly | Midwife | 484 Hoala Dr, Kihei, HI 96753 | 2013-03-09 |
| 1891031951 | Institute for Antiaging Studies | Clinic/Center | 214 Luakaha Cir, Kihei, HI 96753 | 2012-12-18 |
| 1790031433 | Zachary Hunter Rice | Acupuncturist | 344 Nehu Pl, Kihei, HI 96753 | 2012-07-31 |
| Find all providers in zip 96753 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528386299 | David M Huntley Md Inc | Dermatology | 407 Uluniu St, #314, Kailua, HI 96734-2519 | 2010-05-05 |
| 1376568527 | David M Huntley | Dermatology | 407 Uluniu St, #314, Kailua, HI 96734-2519 | 2006-07-12 |
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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.