DR. BENJAMIN MICHAEL DELISA (NPI# 1295930139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295930139 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN MICHAEL DELISA |
| Credential | MD |
| Practice Address |
80 Mahalani St Wailuku HI 96793-2531 |
| Practice Telephone | 8082436150 |
| Mailing Telephone | 8082436150 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD14190 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BILLING NUMBER | 0000268581 | 01 |
| HI | 598196-02 | 05 |
| Street Address |
80 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053800 | Hillary Blake Hardy | Physical Therapist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-05-23 |
| 1437620515 | Heidi Kyoko Garcia | Clinical Nurse Specialist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2018-12-16 |
| 1275985111 | Kaiser Permanente | Clinic/Center | 80 Mahalani St, Wailuku, HI 96793-2531 | 2016-07-04 |
| 1033516687 | Cassandra Bick Johnson | Dietitian, Registered | 80 Mahalani St, Wailuku, HI 96793-2531 | 2014-11-25 |
| 1073888194 | Rainbow Dialysis LLC | Clinic/Center | 80 Mahalani St, Ste 100, Wailuku, HI 96793-2531 | 2012-03-22 |
| 1558633685 | Stephanie Hokulani Garcia | Registered Nurse | 80 Mahalani St, Wailuku, HI 96793-2531 | 2012-02-06 |
| 1376714451 | Benjamin T. Shurtleff | Urology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2008-03-17 |
| 1699964775 | Connie J Debord | Social Worker | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-10-15 |
| 1386843571 | Kristin M Redenbaugh | Obstetrics & Gynecology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-07-17 |
| 1578769964 | Courtney Michelle Ramirez | Internal Medicine | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922313816 | Maui Leialoha Ob Gyn LLC | Obstetrics & Gynecology | 1931 E Vineyard St Ste 100, Wailuku, HI 96793-1700 | 2010-08-16 |
| 1912018359 | Avani R. Lakhani | Obstetrics & Gynecology | 1931 E Vineyard St, Wailuku, HI 96793-1700 | 2006-08-31 |
| 1467715458 | Lily Troy | Obstetrics & Gynecology | 221 Mahalani St, Wailuku, HI 96793-2526 | 2012-06-25 |
| 1710298229 | Jaimie Mariko Johnson | Obstetrics & Gynecology | 1881 Nani St, Wailuku, HI 96793-1811 | 2010-06-30 |
| 1346478161 | Duffy Casey | Obstetrics & Gynecology | 1881 Nani St, Wailuku, HI 96793-1811 | 2009-07-01 |
| 1548452915 | Charles William Bennett | Obstetrics & Gynecology | 30 N Church St, Suite 300, Wailuku, HI 96793-1600 | 2007-08-09 |
| 1386843571 | Kristin M Redenbaugh | Obstetrics & Gynecology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-07-17 |
| 1922204700 | Celeste Suzanne Adrian | Obstetrics & Gynecology | 30 N Church St Ste 300, Wailuku, HI 96793-1600 | 2007-06-27 |
| 1548470479 | Martin E Newman | Obstetrics & Gynecology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-05-22 |
| 1003951906 | Barbara J Bezdicek | Obstetrics & Gynecology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-02-20 |
| Find all providers in WAILUKU | ||||
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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.