KAILUA DERMATOLOGY & ASSOCIATES LTD (NPI# 1639229008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639229008 |
| Entity Type | Organization |
| Organization Name | KAILUA DERMATOLOGY & ASSOCIATES LTD |
| Practice Address |
40 Aulike St Suite 311 Kailua HI 96734-2758 |
| Practice Telephone | 8082616133 |
| Practice Fax Number | 8082629222 |
| Mailing Telephone | 8082616133 |
| Mailing Fax Number | 8082629222 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PHILIP DAVID HELLREICH (PRESIDENT) |
| Authorized Official Telephone | 8082616133 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2088 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | QHCP MDX | MD2088 | 01 |
| HI | HMSA HMO KANEOHE | A3463 5 | 01 |
| HI | QHCP MDX | MD2088 02 | 01 |
| HI | HMSA BCBS | X34632 | 01 |
| HI | HIEL | 191661 | 01 |
| HI | 03119501 | 05 |
| Street Address |
40 AULIKE ST SUITE 311 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601753 | Michael K Sakuda | Dentist | 40 Aulike St, Suite 214, Kailua, HI 96734-2758 | 2005-07-07 |
| 1942658448 | Randall Paglinawan | Counselor | 40 Aulike St, Suite 217, Kailua, HI 96734-2758 | 2016-05-25 |
| 1205207305 | Annie H. Nguyen Psyd LLC | Clinic/Center | 40 Aulike St, Suite 411, Kailua, HI 96734-2758 | 2015-10-14 |
| 1851703607 | Elizabeth Keolani Taitano, Ph.d., LLC | Psychologist | 40 Aulike St, Suite 411, Kailua, HI 96734-2758 | 2014-05-28 |
| 1679907075 | Wells Mental Health Services LLC | Counselor | 40 Aulike St, Suit 411, Kailua, HI 96734-2758 | 2013-08-21 |
| 1376884429 | S.t.a.r.r.(sobrietytraining & Recovery Resources) Inc. | Community/Behavioral Health | 40 Aulike St, Suite 217, Kailua, HI 96734-2758 | 2013-03-13 |
| 1720366545 | Forrest Alden Kaiao Wells | Counselor | 40 Aulike St, Suit 411, Kailua, HI 96734-2758 | 2011-07-27 |
| 1215229646 | Angela Renee Gough | Psychiatry & Neurology | 40 Aulike St, Suite 312, Kailua, HI 96734-2758 | 2011-05-03 |
| 1407153661 | Janice Miriam Hellreich | Speech-Language Pathologist | 40 Aulike St, Suite 311, Kailua, HI 96734-2758 | 2011-02-23 |
| 1386961571 | Koolau Audiology & Hearing Aid Services LLC | Audiologist | 40 Aulike St, Suite 211, Kailua, HI 96734-2758 | 2010-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366454423 | Julie Renee Kenner | Dermatology | 642 Ulukahiki St Ste 104, Kailua, HI 96734-4418 | 2006-08-13 |
| 1639155922 | Rebecca Bernadine Luria | Dermatology | 407 Uluniu St Ste 314, Kailua, HI 96734-2544 | 2005-12-19 |
| 1346230273 | Glenn Todd Bessinger | Dermatology | 970 N Kalaheo Ave Ste C108, Kailua, HI 96734-1871 | 2005-10-22 |
| 1891310355 | Hawaiian Islands Dermatology, LLC | Dermatology | 1051 Keolu Dr Ste 107, Kailua, HI 96734-3800 | 2020-06-10 |
| 1316099963 | Philip David Hellreich | Dermatology | 40 Aulike St, Suite 311, Kailua, HI 96734-2758 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844473 | Mahinakealo, LLC | Dermatology | 44-2881 Kalopa Mauka Rd, Honokaa, HI 96727-6853 | 2020-06-02 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1184923765 | Shelbi Ching Jim On | Dermatology | 405 N Kuakini St Ste 703, Honolulu, HI 96817-6302 | 2011-03-21 |
| 1730406232 | Paul I. Sunahara M.d., Inc. | Dermatology | 321 N Kuakini St Ste 610, Honolulu, HI 96817-2388 | 2010-04-23 |
| 1346417292 | Mika L Yamazaki | Dermatology | 95-151 Pali Momi Street, Aiea, HI 96701 | 2008-05-09 |
| 1952571416 | Timothy Hagino, M.d. LLC | Dermatology | 99-128 Aiea Heights Dr Ste 110, Aiea, HI 96701-3916 | 2008-03-11 |
| 1073631362 | Linda E. Fancher | Dermatology | 1010 S King St Ste 220, Honolulu, HI 96814-1703 | 2007-03-26 |
| 1568592772 | Monica M Scheel | Dermatology | 73-5618 Maiau St, Suite A204, Kailua Kona, HI 96740-2616 | 2007-03-06 |
| 1942373865 | Douglas W. Chun | Dermatology | 1380 Lusitana St Ste 412, Honolulu, HI 96813-2440 | 2006-11-16 |
| 1679643134 | Norman Goldstein Md Inc | Dermatology | 1128 Smith St, Honolulu, HI 96817-5139 | 2006-11-09 |
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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.