DR. LY M. GAU (NPI# 1386696318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386696318 |
| Entity Type | Individual |
| Full Name | DR. LY M. GAU |
| Credential | DO |
| Practice Address |
78-6831 Ali'i Drive Suite 328 Kailua-kona HI 96740 |
| Practice Telephone | 8087478321 |
| Practice Fax Number | 8083340930 |
| Mailing Telephone | 8087478321 |
| Mailing Fax Number | 8083318682 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
DOS-1405 | HI | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
5101013844 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 114766241 | 05 |
| Street Address |
78-6831 ALI'I DRIVE SUITE 328 |
| City | KAILUA-KONA |
| State | HI |
| Zip Code | 96740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215985320 | Edwin P. Herd | Pediatrics | 78-6831 Ali'i Drive, Suite 328, Kailua-kona, HI 96740 | 2006-05-04 |
| 1588720205 | Andrew A. Fedder | Surgery | 78-6831 Ali'i Drive, Suite 422, Kailua-kona, HI 96740 | 2006-12-28 |
| 1902965718 | Unpok John Choe | Internal Medicine | 78-6831 Ali'i Drive, Suite 328, Kailua-kona, HI 96740 | 2006-12-07 |
| 1235209263 | Maria Cecila Oka | Nurse Practitioner | 78-6831 Ali'i Drive, Suite 422, Kailua-kona, HI 96740 | 2006-11-08 |
| 1295839595 | Barry Blum | Orthopaedic Surgery | 78-6831 Ali'i Drive, Suite 328, Kailua-kona, HI 96740 | 2006-09-08 |
| 1316976798 | Kenneth W Smith | Orthopaedic Surgery | 78-6831 Ali'i Drive, Suite 422, Kailua-kona, HI 96740 | 2006-06-30 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063807840 | Ann Catherine Garcia | Family Medicine | Kuakini Medical Center, 347 N. Kuakini Street, Hpm 9, Honolulu, HI 96817 | 2015-03-30 |
| 1699965699 | Koichiro Yamasaki | Family Medicine | 347 N Kuakini St, Mph-9, Honolulu, HI 96817 | 2007-07-26 |
| 1982750394 | Mona Ruth Bomgaars | Family Medicine | 712 Ainapo St, Honolulu, HI 96825-1050 | 2007-01-26 |
| 1669425906 | Robert Gries | Family Medicine | 6163 Summer St, Honolulu, HI 96821-2342 | 2006-05-18 |
| 1184694192 | Kiyotaka Albert Yazawa | Family Medicine | 1027 Hala Dr, Maluhia, Honolulu, HI 96817 | 2006-01-23 |
| 1679005235 | Devin Hazama I | Family Medicine | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720-7210 | 2017-04-01 |
| 1457703134 | Kai Health, Inc. | Family Medicine | 128 Lehua St, Wahiawa, HI 96786-2036 | 2016-07-06 |
| 1902285059 | Shirley M.m. Hirata | Family Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2015-05-22 |
| 1134525546 | Debra Kettleson Inc | Family Medicine | 670 Ponahawai St Ste 221, Hilo, HI 96720-7829 | 2014-11-12 |
| 1477997096 | Seabrook K. Mow | Family Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2013-04-25 |
| 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.