| Castle Physician Network | |
|
30 Aulike St Kailua HI 96734-2739 | |
| (808) 263-5011 | |
| Not Available |
| Full Name | Castle Physician Network |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Aulike St, Kailua, Hawaii |
| Authorized Official Name and Position | Jeff Nye (CFO) |
| Authorized Official Contact | 8082635142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Physician Network Po Box 129 Kailua HI 96734-0129 Ph: (808) 263-5011 | Castle Physician Network 30 Aulike St Kailua HI 96734-2739 Ph: (808) 263-5011 |
| NPI Number | 1043696206 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 6709177686 |
|---|---|
| Medicare Enrollment ID | O20160623001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043696206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maria E Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720344906 PECOS PAC ID: 6103833264 Enrollment ID: I20060314000647 |
| Provider Name | Rosalina P Della |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205937141 PECOS PAC ID: 4880589951 Enrollment ID: I20070206000684 |
| Provider Name | Anne M Asam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942408406 PECOS PAC ID: 1759472442 Enrollment ID: I20080228000061 |
| Provider Name | Christy M Jun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272414 PECOS PAC ID: 9234200080 Enrollment ID: I20080623000023 |
| Provider Name | Mark Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972673416 PECOS PAC ID: 2860656063 Enrollment ID: I20120620000397 |
| Provider Name | Christine M Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831100163 PECOS PAC ID: 9032260310 Enrollment ID: I20130705000151 |
| Provider Name | Becky A Yoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891120911 PECOS PAC ID: 5395977631 Enrollment ID: I20140421000412 |
| Provider Name | Nichole L Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134501687 PECOS PAC ID: 0446560551 Enrollment ID: I20151102001410 |
| Provider Name | Angela Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205060605 PECOS PAC ID: 8022264167 Enrollment ID: I20160628002908 |
| Provider Name | James P Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104052620 PECOS PAC ID: 3375836976 Enrollment ID: I20160719002538 |
| Provider Name | Meagan Jeanne Nolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255769915 PECOS PAC ID: 9133358856 Enrollment ID: I20161028001135 |
| Provider Name | Sara F Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912240821 PECOS PAC ID: 9830466937 Enrollment ID: I20170519002199 |
| Provider Name | Jason Woo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962744573 PECOS PAC ID: 4082855440 Enrollment ID: I20170928001823 |
| Provider Name | Erick R Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225483241 PECOS PAC ID: 6103180427 Enrollment ID: I20190124003411 |
| Provider Name | Kristin Heather King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518346717 PECOS PAC ID: 4284997586 Enrollment ID: I20190607001567 |
| Provider Name | Amy Renn Wolcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417300641 PECOS PAC ID: 2466787817 Enrollment ID: I20190709002005 |
| Provider Name | Craig Y Fujii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467582163 PECOS PAC ID: 3971542093 Enrollment ID: I20191113002072 |
| Provider Name | Thomas Carr |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205935855 PECOS PAC ID: 2769385129 Enrollment ID: I20201116001873 |
| Provider Name | Kimberly Victoria Danks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245841931 PECOS PAC ID: 3971918988 Enrollment ID: I20210224000716 |
| Provider Name | Charles Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962940411 PECOS PAC ID: 1153679063 Enrollment ID: I20210618001711 |
| Provider Name | Carlo Fernandes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477907905 PECOS PAC ID: 5193052462 Enrollment ID: I20210813001437 |
| Provider Name | Marina Nogues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598370439 PECOS PAC ID: 9133504533 Enrollment ID: I20220921002810 |
| Provider Name | Brianna Sortland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255116240 PECOS PAC ID: 3577900653 Enrollment ID: I20240325002946 |
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About Face Kailua, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 Phone: 808-343-6341 Fax: 808-443-0297 | |
Christian W. Boyens, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Aulike Street, Suite # 217, Kailua, HI 96734 Phone: 808-263-1330 Fax: 808-263-1335 | |
The Medical Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Kailua Rd, Kailua, HI 96734 Phone: 808-954-4500 Fax: 808-266-3904 |