KTAMURA MD INC (NPI# 1770136087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770136087 |
| Entity Type | Organization |
| Organization Name | KTAMURA MD INC |
| Practice Address |
85 Maui Lani Parkway Wailuku HI 96793-2416 |
| Practice Telephone | 5302411473 |
| Practice Fax Number | 8084425701 |
| Mailing Telephone | 8084425700 |
| Mailing Fax Number | 8084425701 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | KRISTEN TAMURA (PRESIDENT) |
| Authorized Official Telephone | 5302411473 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | KTAMURA MD INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
85 MAUI LANI PARKWAY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1699206276 | Maui Health System A Kaiser Foundation Hospitals LLC | Specialist | 85 Maui Lani Parkway, Wailuku, HI 96793-2581 | 2017-03-24 |
| 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 |
| 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 |
| 1174957849 | Jon Kealii Inciong | Social Worker | 44 Ponui Cir., Wailuku, HI 96793 | 2013-08-29 |
| 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 |
|---|---|---|---|---|
| 1447325782 | Jay Ian Lakkis | Internal Medicine | 95 Mauilani Pkwy, Wailuku, HI 96793 | 2006-11-21 |
| 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 |
| Find all providers in WAILUKU | ||||
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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.