Alex Kenji Smith, | |
622 Iliaina St, Kailua, HI 96734-1813 | |
(808) 358-4975 | |
Not Available |
Full Name | Alex Kenji Smith |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 622 Iliaina St, Kailua, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770368854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | APRN-4216-0 (Hawaii) | Primary |
Entity Name | Island Surgical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962275784 PECOS PAC ID: 7315397825 Enrollment ID: O20231226000976 |
Mailing Address | Practice Location Address |
---|---|
Alex Kenji Smith, 622 Iliaina St, Kailua, HI 96734-1813 Ph: (808) 358-4975 | Alex Kenji Smith, 622 Iliaina St, Kailua, HI 96734-1813 Ph: (808) 358-4975 |
Made R Alder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Ulukahiki St Ste 209, Kailua, HI 96734 Phone: 808-230-8500 Fax: 808-230-8501 | |
Ms. Alice Deutsch Mendykowski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 Ulukahiki St, Kailua, HI 96734 Phone: 808-263-5050 Fax: 808-263-5054 | |
Ronny Fujimoto, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Hamakua Dr, Kailua, HI 96734 Phone: 808-432-3400 | |
Dionicia A C Mau, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Hamakua Dr, Kailua, HI 96734 Phone: 808-432-3400 | |
Liesl Noel Wyka, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 N Kalaheo Ave Ste C316, Kailua, HI 96734 Phone: 808-488-5555 | |
Rozlynn Kehaulani Dela Pina, AG-ACNP/APP/APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Aulike St Ste 411, Kailua, HI 96734 Phone: 808-452-1379 Fax: 808-201-4961 | |
Michelle L Shanks, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 Keolu Dr Ste A, Kailua, HI 96734 Phone: 808-727-1715 |