PACIFIC ENDOSCOPY CENTER, LLC (NPI# 1841316841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841316841 |
| Entity Type | Organization |
| Organization Name | PACIFIC ENDOSCOPY CENTER, LLC |
| Practice Address |
1029 Makolu Street Suite H Pearl City HI 96782-2890 |
| Mailing Address |
401 Commerce Street Suite 600 Nashville TN 37219 |
| Practice Telephone | 8084566420 |
| Practice Fax Number | 8084566421 |
| Mailing Telephone | 6153456900 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | DR. DARRELL LEE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8084566420 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OHCA FSOF 15 | HI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992879977 | Pacific Endoscopy Center, LLC | Clinic/Center | 17815 Newhope St, Suite R, Fountain Valley, CA 92708-5426 | 2006-11-20 |
| Street Address |
1029 MAKOLU STREET SUITE H |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721259 | Hawaii Vision Surgical Suites LLC | Clinic/Center | 392 Kapiolani St, Hilo, HI 96720 | 2016-10-18 |
| 1558753095 | Pacific Endoscopy Center LLC | Clinic/Center | 1401 S Beretania St Ste 200, Honolulu, HI 96814-1871 | 2015-02-20 |
| 1992915086 | Plastic Surgery Ctr of The Pac Inc | Clinic/Center | 677 Ala Moana Blvd Ste 1011, Honolulu, HI 96813-5471 | 2007-05-23 |
| 1093830325 | Honolulu Spine Center, LLC | Clinic/Center | 500 Ala Moana Blvd Ste 301, Honolulu, HI 96813-4920 | 2007-03-19 |
| 1114985611 | Aloha Surgical Center LLC | Clinic/Center | 239 Hoohana St, Kahului, HI 96732-2452 | 2006-05-03 |
| 1821054412 | Hawaii Endoscopy Center LLC | Clinic/Center | 2226 Liliha Street, Suite 407, Honolulu, HI 96817 | 2006-04-24 |
| 1952366874 | Honolulu Surgery Center Lp | Clinic/Center | 500 Ala Moana Blvd, Tower 1 Suite 1b, Honolulu, HI 96813-4920 | 2006-04-20 |
| 1891759601 | Punahele Associates, LLC | Clinic/Center | 82 Puuhonu Place, Ste 100, Hilo, HI 96720-2010 | 2006-04-17 |
| 1336142884 | The Surgical Suites LLC | Clinic/Center | 1100 Ward Ave, Ste 1001, Honolulu, HI 96814-1617 | 2005-05-27 |
| 1669868600 | Aloha Eye Clinic Surgical Center LLC | Clinic/Center | 450 Hookahi Street, Wailuku, HI 96793 | 2015-04-07 |
| Find all providers with the same taxonomy | ||||
| City | PEARL CITY |
| Zip Code | 96782 |
Please comment or provide details below to improve the information on PACIFIC ENDOSCOPY CENTER, LLC.
| 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.