MAHINAKEALO, LLC (NPI# 1144844473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144844473 |
| Entity Type | Organization |
| Organization Name | MAHINAKEALO, LLC |
| Practice Address |
44-2881 Kalopa Mauka Rd Honokaa HI 96727-6853 |
| Practice Telephone | 8086406290 |
| Mailing Telephone | 8086406290 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | DR. JONATHAN WALSH (PRACTICE MANAGER) |
| Authorized Official Telephone | 8086406290 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
44-2881 KALOPA MAUKA RD |
| City | HONOKAA |
| State | HI |
| Zip Code | 96727-6853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285020081 | Fabienne Bisaro | Community/Behavioral Health | 45-3381 Kukui St, Honokaa, HI 96727 | 2015-04-09 |
| 1184875601 | Lisa Marie Fleury | Pharmacist | 45-3551a Mamane St., Hamakua Family Pharmacy 4, Honokaa, HI 96727 | 2008-10-02 |
| 1295892545 | Edmund Wah On Akioka | Dentist | 45 497b Ilima St, Honokaa, HI 96727 | 2007-01-03 |
| 1306881891 | Hamakua Family Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 45-3551 Mamane St, Suite #4, Honokaa, HI 96727 | 2006-06-18 |
| 1851810519 | Bridget Apaga Bala-valdez | Nurse Practitioner | 45-549 Plumeria St, Honokaa, HI 96727 | 2017-09-13 |
| 1700129046 | Franziska Ronquillo | Psychologist | 45-549 Plumeria St, Honokaa, HI 96727 | 2013-04-05 |
| 1790969244 | Mary C. Mich | Massage Therapist | 853688 Hau St., Honokaa, HI 96727-0424 | 2007-12-19 |
| 1356430326 | Gretchen J Salmon | General Practice | 45-493c Ilima Street, Honokaa, HI 96727-1363 | 2006-10-11 |
| 1528453669 | Power On Coaching, Inc Dba The Exclusive Addiction Treatment Center | Psychiatric Residential Treatment Facility | 45-3514 Paauhau Road, Honokaa, HI 96727-1460 | 2015-04-06 |
| 1831541085 | Adam Wieland | Behavioral Analyst | 44-345 Puaolena St, Honokaa, HI 96727-6805 | 2016-07-11 |
| Find all providers in zip 96727 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1184923765 | Shelbi Ching Jim On | Dermatology | 405 N Kuakini St Ste 703, Honolulu, HI 96817-6302 | 2011-03-21 |
| 1730406232 | Paul I. Sunahara M.d., Inc. | Dermatology | 321 N Kuakini St Ste 610, Honolulu, HI 96817-2388 | 2010-04-23 |
| 1346417292 | Mika L Yamazaki | Dermatology | 95-151 Pali Momi Street, Aiea, HI 96701 | 2008-05-09 |
| 1952571416 | Timothy Hagino, M.d. LLC | Dermatology | 99-128 Aiea Heights Dr Ste 110, Aiea, HI 96701-3916 | 2008-03-11 |
| 1073631362 | Linda E. Fancher | Dermatology | 1010 S King St Ste 220, Honolulu, HI 96814-1703 | 2007-03-26 |
| 1568592772 | Monica M Scheel | Dermatology | 73-5618 Maiau St, Suite A204, Kailua Kona, HI 96740-2616 | 2007-03-06 |
| 1942373865 | Douglas W. Chun | Dermatology | 1380 Lusitana St Ste 412, Honolulu, HI 96813-2440 | 2006-11-16 |
| 1679643134 | Norman Goldstein Md Inc | Dermatology | 1128 Smith St, Honolulu, HI 96817-5139 | 2006-11-09 |
| 1124110879 | Linda E Fancher Md LLC | Dermatology | 1010 South King St, Ste 220, Honolulu, HI 96814 | 2006-09-29 |
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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.