SAMUEL ERNEST WILLIAM JOHNSEN (NPI# 1669491858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669491858 |
| Entity Type | Individual |
| Full Name | SAMUEL ERNEST WILLIAM JOHNSEN |
| Credential | M.D. |
| Practice Address |
180 Dickenson St Ste 103 Lahaina HI 96761-1215 |
| Practice Telephone | 8082145985 |
| Practice Fax Number | 8082146766 |
| Mailing Telephone | 8082145985 |
| Mailing Fax Number | 8082146766 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD12422 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMA | 824532282 | 01 |
| HI | HMSA | 00C0241160 | 01 |
| HI | HMAA | 824532282 | 01 |
| HI | 824532282 | 05 | |
| HI | UHA | 824532282 | 01 |
| Street Address |
180 DICKENSON ST STE 103 |
| City | LAHAINA |
| State | HI |
| Zip Code | 96761-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982105052 | Laulea Health Center LLC | Clinic/Center | 180 Dickenson St Ste 103, Lahaina, HI 96761-1215 | 2018-02-23 |
| 1457494445 | Elizabeth Wright Schusser | Family Medicine | 180 Dickenson St Ste 103, Lahaina, HI 96761-1215 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
| 1366821803 | Stephen Barba | Student in an Organized Health Care Education/Training Program | 154 Papalaua Street, Suite #200, Lahaina, HI 96761 | 2015-05-28 |
| 1538546866 | Christine Marie Mora | Specialist | 12 Alamoana St #a, Lahaina, HI 96761 | 2015-05-06 |
| 1982009502 | Chelsea J North | Massage Therapist | 181 Lahainaluna Road, Suite D, Lahaina, HI 96761 | 2014-10-24 |
| 1427495860 | Chandy-ann Leinaala Lopes | Naturopath | 180 Dickenson St Ste 218, Lahaina, HI 96761 | 2013-05-24 |
| 1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
| 1871736298 | Joal Breece Dennis Sr. | Marriage & Family Therapist | 980 Front St., Lahaina, HI 96761 | 2009-04-15 |
| 1053564526 | Community Clinic of Maui Inc | Clinic/Center | 15 Ipu Aumakua Ln, Lahaina, HI 96761 | 2008-10-28 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1659412021 | Jacoby Inc. | Acupuncturist | 930 Wainee Street, Suite 10, Lahaina, HI 96761 | 2007-02-09 |
| Find all providers in zip 96761 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1760542914 | Norman Michel Estin | Internal Medicine | 200 Nohea Kai Drive, Suite 100, Lahaina, HI 96761 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180010 | Carehalo West LLC | Internal Medicine | 4348 Waialae Ave # 701, Honolulu, HI 96816-5767 | 2020-10-08 |
| 1083230619 | Maui Wellness Medical Center LLC | Internal Medicine | 1300 N Holopono St, Kihei, HI 96753-6945 | 2020-06-19 |
| 1255983177 | Jehdeiah B Lewis | Internal Medicine | 1542 Wilhelmina Rise, Honolulu, HI 96816-7303 | 2019-07-11 |
| 1104481423 | Hayk Ghukasyan | Internal Medicine | 1356 Lusitana St # 705, Honolulu, HI 96813-2409 | 2019-05-02 |
| 1083180947 | Adrienne Wing Md | Internal Medicine | 1329 Lusiotana St, #507, Honolulu, HI 96813 | 2018-10-18 |
| 1619456035 | Elmer F. Baysa Md, Inc | Internal Medicine | 91-775 Papipi Rd Ste A, Ewa Beach, HI 96706-2466 | 2018-08-07 |
| 1073019162 | Leon Matsuo Md Inc | Internal Medicine | 78-6831 Alii Dr Ste B110, Kailua Kona, HI 96740-2495 | 2018-04-05 |
| 1912415977 | Aaron H. Morita, M.d., F.a.c.p., Inc. | Internal Medicine | 670 Ponahawai St Ste 223, Hilo, HI 96720-7829 | 2018-01-11 |
| 1538699079 | William Han Bae | Internal Medicine | 2828 Paa St # 3d04, Honolulu, HI 96819-4430 | 2017-06-18 |
| 1447783741 | Gabino L Baloy Md LLC | Internal Medicine | 94-216 Farrington Hwy Ste 314, Waipahu, HI 96797-1925 | 2017-04-04 |
| 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.