KE OLA PONO OHANA FAMILY MEDICINE CLINIC, LLC (NPI# 1689056699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689056699 |
| Entity Type | Organization |
| Organization Name | KE OLA PONO OHANA FAMILY MEDICINE CLINIC, LLC |
| Practice Address |
99-128 Aiea Heights Dr Suite 505 Aiea HI 96701-3925 |
| Mailing Address |
848 S Beretania St Suite 400 Honolulu HI 96813-2551 |
| Practice Telephone | 8085360300 |
| Practice Fax Number | 8085360320 |
| Mailing Telephone | 8085360300 |
| Mailing Fax Number | 8085360320 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | DR. MELANIE M PAYANAL (CEO) |
| Authorized Official Telephone | 8085360300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD - 18089 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
99-128 AIEA HEIGHTS DR SUITE 505 |
| City | AIEA |
| State | HI |
| Zip Code | 96701-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270042 | William K Wong Jr. | Ophthalmology | 99-128 Aiea Heights Dr, Suite 703, Aiea, HI 96701-3925 | 2006-05-11 |
| 1114452778 | Brandon J Mcnichols Psyd, LLC | Psychologist | 99-128 Aiea Heights Dr, Suite 109, Aiea, HI 96701-3925 | 2017-04-20 |
| 1134652951 | Erik E. Acuna, Lcsw LLC | Community/Behavioral Health | 99-128 Aiea Heights Dr, Suite 109, Aiea, HI 96701-3925 | 2017-04-08 |
| 1396287025 | Medical Support Los Angeles, A Medical Corporation | Independent Medical Examiner | 99-128 Aiea Heights Dr, Suite # 405, Aiea, HI 96701-3925 | 2016-11-11 |
| 1063966489 | Mary Ann Lanoue | Physical Therapist | 99-128 Aiea Heights Dr, Suite 207, Aiea, HI 96701-3925 | 2016-08-15 |
| 1013391127 | Mia Z Jehanno | Physical Therapist | 99-128 Aiea Heights Dr, Suite # 207, Aiea, HI 96701-3925 | 2015-07-17 |
| 1790169225 | Zachary Alexander Clark | Massage Therapist | 99-128 Aiea Heights Dr, Suite 207, Aiea, HI 96701-3925 | 2015-07-14 |
| 1316339054 | Brandon D Young | Pediatrics | 99-128 Aiea Heights Dr, Ste 211, Aiea, HI 96701-3925 | 2015-03-03 |
| 1437541281 | Onmp Inc | Psychologist | 99-128 Aiea Heights Dr, Ste 704, Aiea, HI 96701-3925 | 2015-03-02 |
| 1639561210 | Ammon Zukeran LLC | Chiropractor | 99-128 Aiea Heights Dr, Suite 109, Aiea, HI 96701-3925 | 2015-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
| 1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
| 1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
| 1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
| 1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
| 1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
| 1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
| 1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
| Find all providers in zip 96701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902555 | Liana Tsuruko Kobayashi | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2018-11-28 |
| 1346516580 | Mikela Haldeman Yarawamai | Family Medicine | 98-1079 Moanalua Rd Ste 600, Aiea, HI 96701-4716 | 2012-03-30 |
| 1588757066 | Randall Jiro Nitta | Family Medicine | 98-1247 Kaahumanu St Ste 306, Aiea, HI 96701-5301 | 2006-10-02 |
| 1316039860 | William S. Takashima | Family Medicine | 98-1005 Moanalua Rd Spc 1000, Aiea, HI 96701-4700 | 2006-09-29 |
| 1497856140 | Michael Frederick Hase | Family Medicine | 98-715 Iho Pl # 4-905, Aiea, HI 96701-2514 | 2006-09-26 |
| 1598708125 | Jacqueline Fernandez Adlawan | Family Medicine | 98-1005 Moanalua Road, Suite 3030, Aiea, HI 96701-4735 | 2006-06-13 |
| 1215913116 | Michael Regal | Family Medicine | 99-1440 Aiea Heights Dr, #25, Aiea, HI 96701-2935 | 2005-12-22 |
| 1477555449 | Lloyd T Kobayashi | Family Medicine | 98-1079 Moanalua Rd, Suite 450, Aiea, HI 96701-4713 | 2005-08-10 |
| 1376161133 | Yupeng Liu | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2020-07-08 |
| 1588282420 | Douglas Yeung | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2020-07-07 |
| Find all providers in AIEA | ||||
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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.