DR. JAY IAN LAKKIS (NPI# 1447325782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447325782 |
| Entity Type | Individual |
| Full Name | DR. JAY IAN LAKKIS |
| Credential | M.D. |
| Practice Address |
95 Mauilani Pkwy Wailuku HI 96793 |
| Mailing Address |
95 Maui Lani Pkwy Wailuku HI 96793-2416 |
| Practice Telephone | 8082441444 |
| Practice Fax Number | 8082441445 |
| Mailing Telephone | 8082441444 |
| Mailing Fax Number | 8082441445 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD12546 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 54015501 | 05 |
| Street Address |
95 MAUILANI PKWY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369565 | Elaine Marie Williams | Internal Medicine | 105 Mauilani Pkwy Ste 100, Wailuku, HI 96793-2443 | 2006-03-09 |
| 1942290150 | Loma Harrison Hassell II | Internal Medicine | 105 Mauilani Pkwy, Suite 100, Wailuku, HI 96793-2442 | 2005-10-27 |
| 1780228544 | Northwest Renal Clinic, Inc. | Internal Medicine | 105 Maui Lani Pkwy Ste 100, Wailuku, HI 96793-2443 | 2019-11-04 |
| 1770054355 | Maui Kidney Center LLC | Internal Medicine | 105 Maui Lani Pkwy, Wailuku, HI 96793-2443 | 2018-12-07 |
| 1750821443 | Kristen Tamura Md Inc | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2017-03-01 |
| 1114243474 | Maui Kidney Specialist LLC | Internal Medicine | 105 Mauilani Pkwy Ste 100, Wailuku, HI 96793-2443 | 2010-04-12 |
| 1083879803 | Adam C Protain | Internal Medicine | 105 Maui Lani Pkwy Ste 100, Wailuku, HI 96793-2443 | 2008-07-21 |
| 1194909986 | Maui Kidney Disease, Inc. | Internal Medicine | 105 Mauilani Pkwy, Suite 100, Wailuku, HI 96793-2442 | 2007-12-28 |
| 1851499818 | Robert Rikio Demello | Internal Medicine | 105 Maui Lani Pkwy, Suite 100, Wailuku, HI 96793-2443 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063994606 | Oahu Kidney Care LLC | Internal Medicine | 1380 Lusitana St Ste 907, Honolulu, HI 96813-2448 | 2018-08-30 |
| 1326371832 | Valerie Banjawan Tan | Internal Medicine | 94-229 Waipahu Depot St Ste 101, Waipahu, HI 96797-3032 | 2009-09-15 |
| 1124259676 | Wei Boon Ooi | Internal Medicine | 75-184 Hualalai Rd Ste 202, Kailua Kona, HI 96740 | 2009-07-31 |
| 1871706358 | Sherleen Mohamdi-osman | Internal Medicine | Wake Island Dispensary, Wake Island, HI 96898-5000 | 2007-05-08 |
| 1447272257 | Franklin E. Yuan | Internal Medicine | 1767 Hanahanai Pl, Honolulu, HI 96821-1307 | 2006-07-24 |
| 1780674754 | Noah Malkiel Solomon | Internal Medicine | 1520 Liliha St Ste 601, Honolulu, HI 96817-3564 | 2005-10-21 |
| 1376537449 | Curtis W Lee | Internal Medicine | 24 Mauna Kea St, Hilo, HI 96720-3875 | 2005-09-06 |
| 1083073886 | Hawaii Nephrologists LLC | Internal Medicine | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2016-02-22 |
| 1639551146 | Ma. Clarisse Toledo-santos LLC | Internal Medicine | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1600 | 2015-06-19 |
| 1871909549 | Hawaii Nephrologists LLC | Internal Medicine | 94-229 Waipahu Depot St Ste 101, Waipahu, HI 96797-3032 | 2014-07-02 |
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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.