ABOUT FACE KAILUA, LLC (NPI# 1144828773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144828773 |
| Entity Type | Organization |
| Organization Name | ABOUT FACE KAILUA, LLC |
| Practice Address |
970 N. Kalahea Ave Suite A-11 Kailua HI 96734 |
| Practice Telephone | 8083436341 |
| Practice Fax Number | 8084430297 |
| Mailing Telephone | 8083436341 |
| Mailing Fax Number | 8084430297 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DALE I. BARTOLOME (MD) |
| Authorized Official Telephone | 8083436341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
970 N. KALAHEA AVE SUITE A-11 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1558906107 | Emma Ann Farrel | Behavioral Analyst | 2 Aarona Placd, Kailua, HI 96734 | 2019-11-07 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528384542 | Max M Freed | General Practice | 850 Kainui Dr, Kailua, HI 96734-2024 | 2010-04-15 |
| 1558753749 | Braun Urgent Care Kailua LLC | General Practice | 130 Kailua Rd, Suite 111, Kailua, HI 96734-3420 | 2015-02-24 |
| 1790114536 | Ohana Medical Group LLC | General Practice | 407 Uluniu Street, Suite 113, Kailua, HI 96734 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306864 | Sfmba, LLC | General Practice | 1378 Owaka St, Wailuku, HI 96793-9743 | 2020-11-05 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1023517968 | Woundtech of Hawaii, Inc | General Practice | 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 | 2018-02-06 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1164879649 | Patrick Young | General Practice | 400 Hualani St Ste 196, Hilo, HI 96720-4389 | 2016-05-16 |
| 1205216728 | William Garrett Holder Jr. | General Practice | Schofield Barracks Army Health Clinic Glennan Street, Bldg 677, Schofield Barracks, HI 96787 | 2015-06-01 |
| 1487050241 | Coralie A.k. Texeira, M.d. LLC | General Practice | 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707-2232 | 2014-11-06 |
| 1396162566 | Virginiia Emily Zimmerman | General Practice | 64-732 Lauwai Rd, Kamuela, HI 96743-7396 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
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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.