LATITUDE 19 MEDICAL INC. (NPI# 1669841458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669841458 |
| Entity Type | Organization |
| Organization Name | LATITUDE 19 MEDICAL INC. |
| Practice Address |
75-5591 Palani Rd Kailua Kona HI 96740-3631 |
| Mailing Address |
75-5737 Kuakini Hwy Ste 202 Kailua Kona HI 96740-1725 |
| Practice Telephone | 8086403460 |
| Mailing Telephone | 8086403460 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | DR. RUSSELL ALAN PARKER (PRESIDENT) |
| Authorized Official Telephone | 7192370590 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | DOS-685 | HI | Ambulatory Health Care Facilities |
| Street Address |
75-5591 PALANI RD |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459766 | Maureen Theresa Lang | Audiologist | 75-5591 Palani Rd, #206, Kailua Kona, HI 96740-3631 | 2005-10-03 |
| 1467802777 | Melissa Liao | Dentist | 75-5591 Palani Rd, Suite 202, Kailua Kona, HI 96740-3631 | 2016-06-16 |
| 1720400286 | Kayla Harvey | Counselor | 75-5591 Palani Rd, Kailua Kona, HI 96740-3631 | 2014-01-16 |
| 1407134828 | Childrens Endocrinology Clinic LLC | Pediatrics | 75-5591 Palani Rd, Ste 2002, Kailua Kona, HI 96740-3631 | 2011-08-02 |
| 1801020417 | Kelli M Hicks | Massage Therapist | 75-5591 Palani Rd, Suite 207, Kailua Kona, HI 96740-3631 | 2009-05-11 |
| 1750525986 | Allison M Welch | Massage Therapist | 75-5591 Palani Rd, Suite 207, Kailua Kona, HI 96740-3631 | 2009-05-01 |
| 1407092539 | Dr P G Rajan Md Inc | Internal Medicine | 75-5591 Palani Rd, Sre 2002, Kailua Kona, HI 96740-3631 | 2008-12-18 |
| 1508016924 | Joyce P Miranda | Massage Therapist | 75-5591 Palani Rd, Suite 207, Kailua Kona, HI 96740-3631 | 2008-09-22 |
| 1093906729 | Miranda Family Chiropractic LLC | Chiropractor | 75-5591 Palani Rd, Suite 207, Kailua Kona, HI 96740-3631 | 2007-08-07 |
| 1942323431 | Ron D Ah Loy Md Inc | Internal Medicine | 75-5591 Palani Rd, Kailua Kona, HI 96740-3631 | 2007-04-09 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609991 | Orn Total Health Hawaii- Aila Olakino | Clinic/Center | 75-5749 Kalawa St Ste 101, Kailua Kona, HI 96740-1873 | 2020-08-12 |
| 1720697931 | Pacific Vascular Institute-kona | Clinic/Center | 75-184 Hualalai Rd Ste 100-101, Kailua Kona, HI 96740-1719 | 2020-07-24 |
| 1205095171 | Police Family Chiropractic Inc | Clinic/Center | 75-167 Kalani St, #101, Kailua Kona, HI 96740 | 2008-06-05 |
| 1174662878 | Mkk Healthcare Inc | Clinic/Center | 75-170 Hualalai Rd, Suite C110, Kailua Kona, HI 96740-1780 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486240 | Total Health Connection LLC | Clinic/Center | 15-2579 Keaau Pahoa Rd, Pahoa, HI 96778-6710 | 2020-08-07 |
| 1366065591 | The Queen's Medical Center | Clinic/Center | 1401 S Beretania St Ste 350, Honolulu, HI 96814-1871 | 2020-05-21 |
| 1700415387 | Kaimana Integrative Health Inc. | Clinic/Center | 25-246 Pukana La St, Hilo, HI 96720-1381 | 2020-04-05 |
| 1275167348 | Pacific Vascular Institute, LLC | Clinic/Center | 99-115 Aiea Heights Dr Ste 276b, Aiea, HI 96701-3924 | 2020-02-27 |
| 1619500394 | Vitra Eyewear Group LLC | Clinic/Center | 2233 Kalakaua Ave # B111e, Honolulu, HI 96815-5200 | 2020-02-20 |
| 1063079036 | Kos Integrative Health, LLC | Clinic/Center | 1441 Kapiolani Blvd Ste 609, Honolulu, HI 96814-4403 | 2019-05-24 |
| 1952873408 | Hawaii Health Systems Corporation | Clinic/Center | 4643 Waimea Canyon Dr, Ste B, Waimea, HI 96796 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1497265268 | Maui Health | Clinic/Center | 3681 Baldwin Ave Ste G101, Makawao, HI 96768-7505 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on LATITUDE 19 MEDICAL INC..
| 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.