BENJAMIN T. SHURTLEFF


Address: 80 Mahalani St, Wailuku, HI 96793-2531
Phone: 8082436000

BENJAMIN T. SHURTLEFF (NPI# 1376714451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376714451
Entity Type Individual
Full Name BENJAMIN T. SHURTLEFF
Credential MD
Practice Address 80 Mahalani St
Wailuku
HI 96793-2531
Practice Telephone 8082436000
Mailing Telephone 8082436000
Enumeration Date 2008-03-17
Last Update Date 2008-09-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology MD-14619 HI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
HI 620882-02 05
HI HMSA BILLING NUMBER 0000277525 01

Office Location

Street Address 80 MAHALANI ST
City WAILUKU
State HI
Zip Code 96793-2531

Providers in the same location

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
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
1295930139 Benjamin Michael Delisa Obstetrics & Gynecology 80 Mahalani St, Wailuku, HI 96793-2531 2007-06-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659686020 J. Glenn Haines, M.d., Inc. Urology 1830 Wells St Ste 101, Wailuku, HI 96793-2365 2010-08-10
1063568657 Soren N Carlsen Urology 71 Kanoa St Ste 201, Wailuku, HI 96793-5816 2007-01-26
1518058296 Patrick E. Hamilton Urology 24 N Church St Ste 308, Wailuku, HI 96793-1608 2006-09-27
1508836917 J. Glenn Haines Urology 1830 Wells St, Ste 101, Wailuku, HI 96793-2365 2006-01-26
1073179669 Maui Urology, LLC Urology 1883 Mill St, Wailuku, HI 96793-1236 2019-05-19
1558461350 Todd H. Hoekstra Urology 80 Mahalani St, Wailuku, HI 96793-2531 2006-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659772762 Big Island Urology & Andrology Urology 75-184 Hualalai Rd Ste 200, Kailua Kona, HI 96740-1719 2014-09-08
1043630726 Andrew Jordan Sun Urology 1329 Lusitana St Ste 406, Honolulu, HI 96813-2412 2014-04-22
1750721171 Thomas Yutaka Ito Urology 1850 Laukahi St, Honolulu, HI 96821-1361 2013-06-29
1790022804 Hawaii Urological Institute Urology 91-2139 Fort Weaver Rd Ste 205, Ewa Beach, HI 96706-3608 2013-01-09
1235481185 Island Urology Oahu LLC Urology 1329 Lusitana St Ste 602, Honolulu, HI 96813-2431 2012-10-02
1619276623 James H Stewart Urology 155 Ohana St, Kailua, HI 96734-2351 2011-03-17
1053614388 Eugene T Tanabe Md Inc Urology 98-1079 Moanalua Rd Ste 460, Aiea, HI 96701-4723 2010-12-08
1790085595 Herbert Kw Chinn M D Inc Urology 1329 Lusitana St Ste 108, Honolulu, HI 96813-2401 2010-10-26
1912216599 David A Kuchenbecker Md, Inc Urology 30 Aulike St Ste 602, Kailua, HI 96734-2752 2010-09-30
1437398583 Charles Ock Kim Jr Md LLC Urology 707 Richards St Ste 517, Honolulu, HI 96813-4623 2009-02-12
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Competitor

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City WAILUKU
Zip Code 96793

Improve Information

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Dataset Information

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.

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