| Post Acute Care Hawaii | |
|
848 Pueo St Honolulu HI 96816-5239 | |
| (808) 497-3604 | |
| Not Available |
| Full Name | Post Acute Care Hawaii |
|---|---|
| Speciality | Internal Medicine |
| Location | 848 Pueo St, Honolulu, Hawaii |
| Authorized Official Name and Position | Robert Smitson (OWNER) |
| Authorized Official Contact | 3174327295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Post Acute Care Hawaii 848 Pueo St Honolulu HI 96816-5239 Ph: () - | Post Acute Care Hawaii 848 Pueo St Honolulu HI 96816-5239 Ph: (808) 497-3604 |
| NPI Number | 1518733021 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 4981142833 |
|---|---|
| Medicare Enrollment ID | O20240810000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518733021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marios G Voulgaridis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1770719098 PECOS PAC ID: 7618169269 Enrollment ID: I20101014000453 |
| Provider Name | Robert D Smitson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710203567 PECOS PAC ID: 6901022201 Enrollment ID: I20140722002666 |
| 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 | Miguel Angel Chavez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649703125 PECOS PAC ID: 7719308147 Enrollment ID: I20220623001490 |
| Provider Name | Ryan Demello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366206393 PECOS PAC ID: 7214479690 Enrollment ID: I20240613000798 |
| Provider Name | Jason Marley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902032816 PECOS PAC ID: 8820247976 Enrollment ID: I20240828002901 |
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