TIM TAIKYO KANEDA (NPI# 1972854099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972854099 |
| Entity Type | Individual |
| Full Name | TIM TAIKYO KANEDA |
| Other Name | TAIKYO KANEDA |
| Credential | PA-C, M.H.S. |
| Practice Address |
2180 Main St Wailuku HI 96793-1625 |
| Mailing Address |
180 Dickenson St Ste 103 Lahaina HI 96761-1215 |
| Practice Telephone | 8082424267 |
| Practice Fax Number | 8082424292 |
| Mailing Telephone | 8082145985 |
| Mailing Fax Number | 8082146766 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
AMD 480 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2180 MAIN ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578827 | Judy L Schmidt | Internal Medicine | 2180 Main St, Wailuku, HI 96793-1625 | 2005-06-15 |
| 1710502331 | Jalin K.a. Finai | Audiologist | 2180 Main St, Wailuku, HI 96793-1625 | 2020-06-09 |
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1902440365 | Natasha Victoria Murray | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2019-10-29 |
| 1740831445 | Maria Castellanos | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-09-24 |
| 1770143026 | Tamsyn Kellough | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-06-19 |
| 1851863419 | Emily Newman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-12-20 |
| 1083100986 | Rebeka Lyn Coleman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-07-03 |
| 1700383155 | Shawna Wiley | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793 | 2018-04-11 |
| 1821516618 | Tanya Takatani-apo | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2017-08-31 |
| Find all providers in the same location | ||||
| 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 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 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 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728139 | Susan S Stewart | Physician Assistant | Maui Medical Group, 2180 Main Street, Wailuku, HI 96793 | 2005-05-23 |
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1194061549 | Stephanie Manzella | Physician Assistant | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2012-12-12 |
| 1326312877 | Reshma Lalwani | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2012-03-01 |
| 1003050261 | Arthur Ruben Sakakihara - Chavarria | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2009-04-30 |
| 1669637807 | Jessica Kiersten Mattson | Physician Assistant | 24 N Church St, 403, Wailuku, HI 96793-1680 | 2008-07-28 |
| 1548420490 | Leonard Jay Ferguson | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1666 | 2008-06-13 |
| 1629169628 | Lisa Virginia Kemp | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-09-27 |
| 1780785618 | Stephen Koshel | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-09-25 |
| 1487623369 | Kazue T Johansen | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-03-14 |
| 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.