WEST SHORE NEUROLOGY LLC (NPI# 1427187335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427187335 |
| Entity Type | Organization |
| Organization Name | WEST SHORE NEUROLOGY LLC |
| Practice Address |
91-2139 Fort Weaver Rd Ste 210 Ewa Beach HI 96706-3609 |
| Practice Telephone | 8086800558 |
| Mailing Telephone | 8086800558 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAY R ROMERO (PRESIDENT) |
| Authorized Official Telephone | 8086800558 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
91-2139 FORT WEAVER RD STE 210 |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083015473 | Samantha Rossi Perdue | Physical Therapist | 91-2139 Fort Weaver Rd Ste 210, Ewa Beach, HI 96706-3609 | 2014-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003006198 | Laura C Miller | Psychiatry & Neurology | 91-2139 Fort Weaver Rd, Pob Suite 101, Ewa Beach, HI 96706-3607 | 2007-07-26 |
| 1265487334 | Rey R Romero | Psychiatry & Neurology | 91-2139 Fort Weaver Rd, Suite 300, Ewa Beach, HI 96706-3607 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063755080 | Martha Lorena Cruz | Psychiatry & Neurology | 98-1079 Moanalua Rd Ste 640, Aiea, HI 96701-4721 | 2013-03-27 |
| 1801186093 | Jordan S Popper Md Inc | Psychiatry & Neurology | 98-1079 Moanalua Rd Ste 410, Aiea, HI 96701-4715 | 2011-04-09 |
| 1407017973 | Victoria San San Wong | Psychiatry & Neurology | 550 S Beretania St Ste 405, Honolulu, HI 96813-2496 | 2008-06-18 |
| 1154502896 | Elizabeth U Blalock | Psychiatry & Neurology | 2465 Ala Wai Blvd, Apt 804, Honolulu, HI 96815-3455 | 2007-11-23 |
| 1780890251 | Michiko Kimura Bruno | Psychiatry & Neurology | 98 1079 Moanalua Rd. #650, Aiea, HI 96701-4721 | 2007-05-14 |
| 1447393939 | Melvin C. W. Wong | Psychiatry & Neurology | 98-1247 Kaahumanu St Ste 318, Aiea, HI 96701-5301 | 2007-02-14 |
| 1477659514 | Gabriele M Barthlen | Psychiatry & Neurology | 98-1238 Kaahumanu St, 300, Pearl City, HI 96782-3250 | 2006-09-16 |
| 1073556650 | Jordan S Popper | Psychiatry & Neurology | 320 Ward Ave Ste 101, Honolulu, HI 96814-4016 | 2006-06-13 |
| 1750359709 | Jeffrey Earl Liu | Psychiatry & Neurology | 1380 Lusitana St., Suite 705, Honolulu, HI 96813-2443 | 2006-03-08 |
| 1477523785 | Michael B Russo | Psychiatry & Neurology | 250 Ward Ave Ste 170, Honolulu, HI 96814-4014 | 2006-01-26 |
| Find all providers with the same taxonomy | ||||
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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.