BIG ISLAND PAIN CENTER, LLC (NPI# 1255683785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255683785 |
| Entity Type | Organization |
| Organization Name | BIG ISLAND PAIN CENTER, LLC |
| Other Organization Name | PUANA PAIN CLINIC |
| Practice Address |
32 Ululani St Hilo HI 96720-2933 |
| Mailing Address |
2510 S Adams St Denver CO 80210-6230 |
| Practice Telephone | 8089349675 |
| Mailing Telephone | 8089349675 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. LYNN PUANA (EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8089349675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
W5908947001 | HI | Ambulatory Health Care Facilities |
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
W5908947001 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 62644205 | 05 |
| Other Name | Type Code |
|---|---|
| Puana Pain Clinic | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Big Island Pain Center, LLC | 67-1235 Koaliula Pl, Kamuela, HI 96743 |
| Street Address |
32 ULULANI ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710091830 | Manas K Ghosh | Specialist | 32 Ululani St, Hilo, HI 96720-2933 | 2006-08-18 |
| 1205303716 | Brenda Lee Orcutt | Nurse Practitioner | 32 Ululani St, Hilo, HI 96720-2933 | 2018-11-01 |
| 1538550587 | Albert Samuel Braun | Nurse Practitioner | 32 Ululani St, Hilo, HI 96720-2933 | 2015-02-12 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467000323 | Hilo Back and Neck Pain Center | Clinic/Center | 118 Ponahawai St, Hilo, HI 96720-3004 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174756662 | Aloha Pain Clinic, LLC | Clinic/Center | 68-1845 Waikoloa Rd Ste 216, Waikoloa, HI 96738-5584 | 2009-08-31 |
| 1235758368 | Daniel S Choi Md Professional Corporation | Clinic/Center | 3176 Poipu Rd, Koloa, HI 96756-9521 | 2020-04-09 |
| 1962069831 | Dr. Madison Bell Dc Professional Corporation | Clinic/Center | 6700 Kalanianaole Hwy Ste 207, Honolulu, HI 96825-1279 | 2019-05-25 |
| 1598106247 | Damien Tavares Md, LLC | Clinic/Center | 2226 Liliha St, Suite 407, Honolulu, HI 96817-1600 | 2013-07-10 |
Please comment or provide details below to improve the information on BIG ISLAND PAIN CENTER, LLC.
| 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.