BROOKS KV HAMMOND (NPI# 1336671692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336671692 |
| Entity Type | Individual |
| Full Name | BROOKS KV HAMMOND |
| Credential | PA-C |
| Practice Address |
75-5751 Kuakini Hwy Ste 101a Kailua Kona HI 96740 |
| Mailing Address |
75-5751 Kuakini Hwy Kailua Kona HI 96740-1752 |
| Practice Telephone | 8083265629 |
| Mailing Telephone | 8083265629 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 12374 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 551 4th St N, Winsted, MN 553954523 | 9524423190 | |
| 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 | 8083265629 |
| Street Address |
75-5751 KUAKINI HWY STE 101A |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629669 | C Eric Lindborg | Emergency Medicine | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2005-06-20 |
| 1386243285 | Katherine Stene | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2020-10-21 |
| 1972154797 | Cassandra Travers | Nurse Practitioner | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2019-09-23 |
| 1528503232 | Marina M O'brien-gamble | Nurse Practitioner | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2017-01-04 |
| 1114302866 | Brandon S Kang | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2015-07-23 |
| 1730567173 | Aren J Thompson | Family Medicine | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 | 2015-05-18 |
| 1144519489 | Suzanne Kay Leter | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 | 2011-04-06 |
| 1164727079 | Victoria Kay Hanes | Psychologist | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2011-01-24 |
| 1790838654 | Melissa Ann Bumgardner | Pharmacist | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 | 2007-01-22 |
| 1063461168 | Kathleen J Gorman | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982009437 | Paul Russell Hilmo | Physician Assistant | 77-6403 Nalani St Ste 200, Kailua Kona, HI 96740-9763 | 2014-10-27 |
| 1740682889 | Patricia Achay | Physician Assistant | 73-5618 Maiau St, Suite A204, Kailua Kona, HI 96740-2616 | 2014-09-19 |
| 1447684360 | Patricia Anne Colvin | Physician Assistant | 73-5618 Maiau St, Suite A204, Kailua Kona, HI 96740-2616 | 2013-08-27 |
| 1306008065 | Erika Alyse Mullen | Physician Assistant | 75-167 Kalani St, Kailua Kona, HI 96740-1800 | 2008-06-25 |
| 1578649588 | Housecalls of Hawaii LLC | Physician Assistant | 75-6107 Hoomama St, Kailua Kona, HI 96740-7953 | 2006-10-31 |
| 1437102613 | William Ross Hardwick | Physician Assistant | 75-5751 Kuakini Hwy, Ste 203, Kailua Kona, HI 96740-1752 | 2006-05-18 |
| 1003864927 | Christopher R Russell | Physician Assistant | 75-5751 Kuakini Hwy, Suite 104, Kailua Kona, HI 96740-1752 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433505 | Jessica Renae Hall | Physician Assistant | 201 Bougainvillea Loop, Honolulu, HI 96818-1495 | 2020-10-08 |
| 1508472085 | Lauren Whitney Hall | Physician Assistant | 91-1368 Kaileolea Dr, Ewa Beach, HI 96706-6289 | 2020-09-19 |
| 1568076685 | Emily Rose Callaway | Physician Assistant | 501 Hahaione St Apt 8j, Honolulu, HI 96825-1444 | 2020-09-04 |
| 1053939124 | Jamie Tamayose | Physician Assistant | 46-1063 Emepela Way Apt 6u, Kaneohe, HI 96744-3940 | 2020-07-06 |
| 1982161782 | Amanda Laurent | Physician Assistant | 1401 S Beretania St Ste 102, Honolulu, HI 96814-1871 | 2019-02-28 |
| 1720578693 | Ashley Marie Mccall | Physician Assistant | 900 Fort Street Mall Ste 1040, Honolulu, HI 96813-3701 | 2018-05-15 |
| 1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
| 1902300056 | Hawaii Care Connect Medical Group LLC | Physician Assistant | 94-356 Waipahu Depot St Ste 204, Waipahu, HI 96797-3057 | 2018-03-22 |
| 1154835353 | Arthur Burgos Domingo | Physician Assistant | 445 Seaside Ave, Honolulu, HI 96815-2640 | 2017-11-27 |
| 1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.