Citation preview
HI_CAID_QUEST_Provider_Directory_Ilo_8_2019_RHAWAl'I DIREKTORYO Tl
MANGIPAPAAY SERBISYO
Hawai‘i, Kaua‘i, Lana‘i, Maui, Moloka‘i, O‘ahu
CAD_41127I_0919 State Approved 12022014
HI9ZABDIR41127I_00QI
Table of Contents Provider Directory
Introduction I How to Read Our Provider Listings III Icon Guide
III
List of Plan Providers Primary Care Physicians
Hawaii 2
Kauai 11 Lanai 15 Maui 16 Molokai 21 Oahu 22
Specialty Physicians Hawaii 51 Kauai 94 Lanai 110 Maui 113 Molokai
152 Oahu 154
Hospitals Hawaii 369 Kauai 370 Maui 371 Molokai 372 Oahu 373
Home and Community Based Services Hawaii 375 Kauai 376 Maui 377
Oahu 378
Behavioral Health Hawaii 382 Kauai 395 Lanai 399 Maui 400 Molokai
405 Oahu 406
Ancillary Providers All 440
Hawaii 441 Kauai 446 Maui 448 Molokai 451 Oahu 452
Allied Providers Hawaii 468 Kauai 480 Lanai 484 Maui 485 Molokai
498 Oahu 500
Pharmacy Hawaii 556 Kauai 559 Lanai 561 Maui 562 Molokai 565 Oahu
566
Indexes Alternate Languages Index 579 Specialty Index 588 Extended
Hours Index 593 Provider Index 607
Adtoy ti kopyayo ti direktoryo ti mangipapaay serbisyo ti ‘Ohana
Health Plan. Ilistana ti amin a mangipapaay serbisyo iti grupomi.
Mairaman kadagitoy a mangipapaay serbisyo dagiti:
• Mangipapaay iti kangrunaan a pannakataripato (PCP) ken
espesyalista
• Ospital
• Parmasya
Aramiden ti tunggal maysa kadagitoy a mangipapaay serbisyo ti
bukodda a desisyon maipanggep iti kasapulanyo a pannakataripato.
Saan a responsable ti ‘Ohana Health Plan para kadagitoy a desisyon.
Mabalin a saan a mangisaysayangkat ti sumagmamano kadagiti
mangipapaay serbisyo iti sumagmamano a serbisyo gapu kadagiti
pammatida mainaig iti relihiyon wenno moralidad.
Inlistami ti amin a mangipapaay serbisyo segun iti Isla. Kalpasanna
grinupomi ida segun iti kita ti pannakataripato wenno serbisyo nga
ipapaayda. Inramanmi pay dagiti:
• Adres ken numero ti telepono dagiti mangipapaay serbisyo
• Simbolo a mangipakaammo kadakayo no agaw-awat ti mangipapaay
serbisyo iti baro a pasyente, no sinertipikaran daytoy ti board
wenno no nalaka ti mapan sadiay opisinada babaen iti
wheelchair
Nangikabil kami iti ramit iti website mi a pangbirok iti
mangipapaay serbisyo. Mapan iti ohanahealthplan.com. Kalpasanna
i-klik ti simbolo nga "Agbirok iti Mangipapaay Serbisyo" ("Find a
Provider"). Mabalinyonton ti agbirok kadagiti mangipapaay serbisyo
iti lugaryo. Daytoy ti kasayaatan a lugar a pangalaanyo ti kabaroan
nga impormasyon ti direktoryo. Tawagandakami no adda saludsodyo
maipanggep iti daytoy a direktoryo. Matulungandakayo nga agbirok
iti mangipapaay serbisyo. Makatulong kami pay a mangituding iti
appointment para kadakayo. Ti awan-bayadna a numeromi ket
1-888-846-4262. Mabalin a tumawag dagiti agus-usar iti TTY/TDD iti
1-877-247-6272. Matawagandakami 7:45 a.m. agpatingga iti 4:30 p.m.
Gagangay nga Oras iti Hawaii HST.
Kalikagummi ti nasayaat a salun-atyo.
www.ohanahealthplan.com | I
3HI026206_CAD_INS_MLT State Approved MMDDYYYY ©WellCare 2014
HI_05_14 <OH15-XXX <Description>>
This document has important information from ‘Ohana Health Plan.
You can request this written document to be provided to you only in
Ilocano, Vietnamese, Chinese (Traditional) and Korean. If you need
it in another language you can request to have it read to you in
any language. There is no charge. We also offer large print,
braille, sign language and audio. Call us toll-free at
1-888-846-4262. (TTY/ TDD: 1-877-247-6272).
14 PT - 1 inch margins
Daytoy a dokumento ket naglaon iti napateg nga impormasyon manipud
iti ‘Ohana Health Plan. Mabalinyo a kiddawen a maisurat daytoy a
dokumento iti Ilocano. Awan ti bayadanyo. Mabalinyo a kiddawen a
maibasa daytoy kadakayo. Idiaya mi pay ti dadakkel a letra,
braille, senyas a pagsasao ken audio. Tawagandakami iti awan-
bayadna nga 1-888-846-4262. (TTY/TDD: 1-877-247-6272).
Tai u nay c6 thong tin quan tr9ng tu chuong tr1nh bao hiem'Ohana
Health Plan. Quy vi c6 the h6i xin i u nay viet bang Tieng Vt.
Khong ton tien. N6 c6 the d9c n cho quy vj. Chung t6i cung cung ung
ban in chu Ion, chu noi braille cho nguoi mu, ng6n ngu sign
language ra dau va audio am thanh. Xin g9i di~n thoc;ii chung t6i
so mien phf 1-888-846-4262. (TTY /TDD: 1-877-247-6272).
'Ohana Health Plan ~ 1-888-846-4262 (TTY/TDD :
1-877-247-6272)
01 'Ohana Health Plan0~ LI'01 1 ~o~~oLIC 01~l::l I LIC071 ~l::ll
7
J.AI, A2.ci.2. Xii LIC 1 -888-846-42629 212..(TTY/TDD:
1-877-247-6272).
www.ohanahealthplan.com | II
Kasano a Basaen dagiti Listaanmi ti Mangipapaay Serbisyo
Nagan ti mangipapaay serbisyo
www.ohanahealthplan.com | III
Kayatna a sawen a ti mangipapaay serbisyo ket sinertipikaran ti
board
Kayatna a sawen a makapan ti wheelchair iti opisina ti mangipapaay
serbisyo
Kayatna a sawen a saan nga agaw-awat ti mangipapaay serbisyo iti
baro a pasyente
Nagan ti mangipapaay serbisyo
Adres ken numero ti telepono ti mangipapaay serbisyo
Tamingen ti mangipapaay serbisyo dagiti pasyente kadagitoy a
tawen
Ospital a pakipaspasetan ti mangipapaay serbisyo
Lengguwahe nga us-usaren ti mangipapaay serbisyo wenno dagiti
empleyadona
Oras a silulukat ti opisina
PCMH: WEN/ SAAN. Tukad 1,2,3
Makipaset iti Modelo nga PCMH*
Pannarabay iti Simbolo
Kayatna a sawen a ti mangipapaay serbisyo ket sinertipikaran ti
board
Kayatna a sawen a makapan ti wheelchair iti opisina ti mangipapaay
serbisyo
Kayatna a sawen a saan nga agaw-awat ti mangipapaay serbisyo iti
baro a pasyente
Ti kayat a sawen ti *PCMH ket patient centered medical home wenno
naisentro iti pasyente a medikal a pagtaengan. Daytoy ket maysa a
wagas a panangted iti pannaripato a pakairamanan ti maysa a grupo
dagiti propesyonal iti pannakataripato ti salun-at. Agtitinnulong
ti grupo tapno matun-oyan dagiti kasapulan ti tunggal pasyente.
dagiti mangipapaay serbisyo ket maikabil iti maysa kadagiti tallo a
tukad; Tukad 1 (kababaan), Tukad 2 ken Tukad 3 (kangatoan).
Ilocano to English Provider Types*/ Dagiti Kita ti Mangipapaay
Serbisyo nga Ilocano*
Ilocano Ingles
Akapungktura Acupuncture
Serbisyo iti Kadua ti Nataengan Adult Companion Services
Pannakataripato ti Nataengan iti Aldaw Adult Day Care
Pagtaengan a Pagdagusan ken Pakataripatoan ti Nataengan Adult
Foster Care Home
Medikal a Pannakataripato ti Nataengan iti Aldaw Adult Medical Day
Care
Pagtaengan a Pagnaedan ken Pakataripatoan ti Nataengan Adult
Residential Care Home
Naisentro a Pannakaimaton ti Kaso ti Nataengan
Adult Targeted Case Management
Alerdyi ken Imunolohiya Allergy & Immunology
Sentro ti Operasyon a Saan a Maiyospital ti Pasyente Ambulatory
Surgery Center
Serbisyo iti Matultulongan a Panagbiag Assisted Living
Services
Medisina iti panagdengngeg Audiology
Sentro a Pagpasngayan Birthing Center
Laboratorio para iti Cath ti Puso Cardiac Cath Laboratory
Benneg ti medisina mainaig iti kuryente iti Puso Cardiac
Eletrophysiology
Pannakabantay ti Puso Cardiac Monitoring
Kardiolohiya wenno benneg ti medisina mainaig iti saksakit ti
puso
Cardiology
Serbisyo a Panangimaton iti Kaso Case Management Service
Medikal a Pannakataripato ti Ubbing mainaig iti Panagabuso iti
Ubing
Child Abuse Pediatrics
Naisentro a Pannakaimaton ti Kaso ti Ubbing
Children Targeted Case Management
Ubbing nga Addaan kadagiti Espesyal a Kasapulan iti Pannakataripato
ti Salun-at
Child With Special Health Care Needs
Kiropraktik Chiropractic
Klinika Clinic
Operasyon ti Bagis ken Ubet Colon Rectal Surgery
Sentro ti Salun-at iti Komunidad Community Health Center
Sentro ti Salun-at ti Panagpampanunot iti Komunidad
Community Mental Health Center
Sangay ti Serbisyo iti Komunidad Community Service Board
Operasyon ti Puso mainaig iti Sakit ti Puso iti Pannakaiyanak
Congenital Cardiac Surgery
Serbisyo iti Makonsumo a Medikal a Suplay
Consumable Medical Supply Services
Kritikal Akses nga Ospital Critical Access Hospital
Dentistriya Dentistry
Ilocano Ingles
www.ohanahealthplan.com | V
Ilocano Ingles
Dermatolohiya Dermatology
Naituding a Sentro para iti Aids Designated Aids Center
Edukasyon maipanggep Diyabetis Diabetes Education
Sentro para iti Panangduktal iti Sakit Ken Panagagas
Diagnostic And Treatment Center
Panagaramid ti Ladawan a Pangduktal iti Sakit Diagnostic
Imaging
Dialysis Dialysis
Lapayag, Agong ken Karabukob Ear, Nose & Throat
Endokrinolohiya, Diyabetis, Metabolismo
Endocrinology, Diabetes, Metabolism
Serbisyo iti Nalaka a Panaggaraw dagiti Addaan Disabilidad iti
Aglawlawda
Environmental Accessibility Adoption Services
Serbisyo ti Kadua Escort Services
Panagplano ti Pamilya Family Planning
Panagserbi kas Doktor ti Pamilya Family Practice
Serbisyo iti Panagsanay ti Pamilya Family Training Services
Sentro ti Salun-at nga Inikkan- kuwalipikasyon ti Pederal
Federally Qualified Health Center
Financial Risk Assessment/Risk Reduction Services
Sentro ti Kinakaradkad Fitness Center
Gastroenterolohiya wenno benneg ti medisina a panagagas kadagiti
sakit ti bituka ken bagbagis
Gastroenterology
Gastroenterolohiya wenno benneg ti medisina a panagagas kadagiti
sakit ti bituka ken bagbagis ken Hepatolohiya
Gastroenterology & Hepatology
www.ohanahealthplan.com | VI
Ilocano Ingles
Operasyon ti Naguneg ti Tiyan General Surgery
Pamalbalakad mainaig iti Genetics Genetic Counseling
Medisina para iti Saksakit dagiti Lallakay/Babbaket Geriatric
Medicine
Sikiyatriya para kadagiti Lallakay/Babbaket Geriatric
Psychiatry
Onkolohiya wenno benneg ti medisina a panagagas kadagiti tumor iti
saksakit ti babbai
Gynecological Oncology
Hinekolohiya wenno benneg ti medisina a panagagas kadagiti tumor
iti saksakit ti babbai
Gynecology
Onkolohiya ti Ulo ken Tengnged Head & Neck Oncology
Operasyon ti Ulo ken Tengnged Head & Neck Surgery
Pannakabantay ti Kinatalged ti Salun-at Health Safety
Monitoring
Aglaklako iti Ramit a katulungan iti panagdengngeg Hearing Aid
Supplier
Ramit a katulungan iti Panagdengngeg Terapiya ken
Espesyalista
Hearing Aid Therapy & Specialist
Hematolohiya wenno benneg ti medisina mainaig iti dara ken saksakit
iti dara
Hematology
Hematolohiya ken Onkolohiya wenno benneg ti medisina a panagagas
kadagiti tumor
Hematology & Oncology
HIV/AIDS HIV/AIDS Dagiti Makan a Maitulod iti Pagtaengan
Home-Delivered Meals
Pannakataripato ti Salun-at iti Pagtaengan Home Health Care
Hospisyo Hospice
Pannakataripato iti Hospisyo ken Pannakataripato a Pangpalag-an iti
Rigat ti Panagsakit
Hospice & Palliative Care
Medisina nga agusar iti Oxygen Hyperbaric Medicine
Makaakar a Sakit Infectious Disease
Terapiya ti Agas a Maited babaen iti Suwero Infusion Therapy
Medisina mainaig iti Saksakit ti Nataengan Internal Medicine
Pannaka-eksamen ti Patolohiya iti Laboratoryo Laboratory Pathology
Testing
Nalisensyaan nga Ahensya ti Serbisyo a Pannakataripato iti
Pagtaengan
Licensed Home Care Service Agency
Lithotripsy wenno panangrumek iti bato ti bekkel Lithotripsy
Magnetic Resonance Imaging Magnetic Resonance Imaging
Pannaka-eksamen ti Suso Mammography
Terapiya a Masahe Massage Therapy
Medisina para iti Ina ken ti Sikog a Maladaga Maternal Fetal
Medicine
Medisina mainaig kadagiti Matawid a Saksakit Medical Genetics
Medikal nga Onkolohiya Medical Oncology
Panangited ti Medikasyon Medication Administration
Mobayl a Panangduktal ti Sakit Mobile Diagnostic
Silulukat nga MRI MRI Open
Medisina ti Dandani Maipasngay ken Kaipaspasngay Neonatal Perinatal
Medicine
Neprolohiya wenno benneg ti medisina para iti saksakit ti kidney
wenno bekkel
Nephrology
Benneg ti medisina para iti sistema ti nerbiyo kas mainaig iti
onkolohiya
Neuro Oncology
Disabilidad mainaig ti Panagdur- as ti Sistema ti Nerbiyo
Neurodevelopmental Disabilities
www.ohanahealthplan.com | IX
Ilocano Ingles
Benneg ti medisina para iti sistema ti nerbiyo Neurology
Benneg ti medisina para iti sistema ti nerbiyo/Benneg ti medisina
para iti lapayag
Neurology/Otology
Neuromuscular Medicine
Benneg ti medisina para iti sistema ti nerbiyo kas mainaig iti
onkolohiya
Neuro-Oncology
Benneg ti medisina para iti sistema ti nerbiyo kas mainaig iti
sikolohiya
Neuropsychology
Benneg ti medisina para iti sistema ti nerbiyo kas mainaig iti
radiolohiya
Neuroradiology
Kardiolohiya a Nuclear Nuclear Cardiology
Medisina a Nuclear Nuclear Medicine
Radiolohiya a Nuclear Nuclear Radiology
Nars a Midwife Nurse Midwife
Nutrisyon Nutrition
Benneg ti medisina para iti pannakataripato ti reproduktibo a
sistema ti babbai ken dagiti annakda
Obstetrics
Benneg ti medisina para iti pannakataripato ti reproduktibo a
sistema ti babbai ken dagiti annakda/Hinekolohiya
Obstetrics/Gynecology
Terapiya babaen Panagobra Occupational Therapy
Optalmolohiya wenno benneg ti medisina para iti mata
Ophthalmology
Optician
Optometria wenno benneg it medisina mainaig iti salun-at dagiti
mata
Optometry
Operasyon ti Ngiwat ken Ulo, Tengnged, Rupa, Panga Oral &
Maxillofacial Surgery
Ortodontia wenno dentistriya mainaig iti diperensiya ti ngipen
Orthodontics
Operasyon ti Tultulang Orthopaedic Surgery
Ortotiks Orthotics
Ortotiks ken Prostetiks Orthotics & Prosthetics
Pasilidad ti Operasyon ti Pasyente a Saan a Mayospital Outpatient
Surgical Facility
Panangimaton iti Sakit/Ot-ot Pain Management
Suporta iti Panangimaton iti Sakit/Ot-ot Pain Management
Support
Alerdyi ken Imunolohiya dagiti Ubbing Pediatric Allergy &
Immunology
Medisina mainaig iti Ugali dagiti Ubbing Pediatric Behavioral
Medicine
Pannakabantay ti Puso dagiti Ubbing Pediatric Cardiac
Monitoring
Kardiolohiya para kadagiti Ubbing Pediatric Cardiology
Operasyon ti Puso ken Ur-urat dagiti Ubbing
Pediatric Cardiovascular Surgery
Lapayag, Agong ken Karabukob dagiti Ubbing Pediatric Ear, Nose
& Throat
Endokrinolohiya para kadagiti Ubbing Pediatric Endocrinology
Gastroenterolohiya wenno benneg ti medisina a panagagas kadagiti
sakit ti bituka ken bagbagis dagiti Ubbing
Pediatric Gastroenterology
Ilocano Ingles
Genetics dagiti Ubbing Pediatric Genetics
Hematolohiya wenno benneg ti medisina mainaig iti dara ken saksakit
iti dara/Onkolohiya para kadagiti Ubbing
Pediatric Hematology/ Oncology
Makaakar a Sakit dagiti Ubbing Pediatric Infectious Disease
Neprolohiya wenno benneg ti medisina para iti saksakit ti kidney
wenno bekkel dagiti Ubbing
Pediatric Nephrology
Benneg ti medisina para iti sistema ti nerbiyo dagiti Ubbing
Pediatric Neurology
Operasyon para iti sistema ti nerbiyo dagiti Ubbing Pediatric
Neurosurgery
Onkolohiya wenno benneg ti medisina a panagagas kadagiti tumor
dagiti Ubbing
Pediatric Oncology
Medisina mainaig iti Tultulang dagiti Ubbing Pediatric
Orthopaedics
Operasyon ti Tultulang dagiti Ubbing Pediatric Orthopedic
Surgery
Sikiyatriya para kadagiti Ubbing Pediatric Psychiatry
Benneg ti Medisina mainaig iti Sakit ti Panaganges dagiti Ubbing
Pediatric Pulmonology
Medisina a Rehabilitasyon dagiti Ubbing
Pediatric Rehabilitation Medicine
Benneg ti medisina para iti saksakit ti reuma dagiti Ubbing
Pediatric Rheumatology
Medisina mainaig iti Isports para kadagiti Ubbing Pediatric Sports
Medicine
Operasyon dagiti Ubbing Pediatric Surgery
Hepatolohiya ti Transplant kadagiti Ubbing
Pediatric Transplant Hepatology
Benneg ti medisina para iti sistema ti panagisbo dagiti
Ubbing
Pediatric Urology
www.ohanahealthplan.com | XI
Ilocano Ingles
Pediatrics Behavioral & Developmental
Dentristriya mainaig iti Saksakit ti Gugot Periodontics
Serbisyo iti Personal a Pannakataripato Personal Care
Services
Sistema ti Panagsungbat iti Personal nga Emerhensiya
Personal Emergency Response System
Physical Medicine & Rehabilitation
Laboratorio mainaig iti Panagobra Physiological Lab
Operasyon a Pangpasubli iti Sigud a Langa
Plastic & Reconstructive Surgery
Podiatria wenno benneg ti medisina para iti saksakit ti gurong ken
saka
Podiatry
Sentro ti Kangrunaan a Pannakataripato Primary Care Center
Prostetiks Prosthetics
Prosthodontics
Sikiyatriya Psychiatry
Sikolohiya Psychology
Medisina a pannakaadal dagiti banbanag ti ugali kas mainaig iti
Proseso ti Bagi
Psychosomatic Medicine
Panangagas iti kanser babaen iti Radiasion Radiation Oncology
www.ohanahealthplan.com | XII
Ilocano Ingles
Sentro ti Terapiya babaen iti Radiasion Radiation Therapy
Center
Radiolohiya – Pangduktal iti Sakit ken ti Sistema ti Ur-urat
Radiology – Interventional & Vascular
Endokrinolohiya ti Sistema Reproduktibo Reproductive
Endocrinology
Terapiya iti Panaganges Respiratory Therapy
Serbisyo a Pannaripato tapno Makainana dagiti Regular a
Parataripato
Respite Care Services
Sentro ti Salun-at iti Rural Rural Health Center
Panangiturong iti Pannakataripato ti Bukod a Bagi Self-Directed
Care
Pasilidad ti Pannaripato ti Nakarehistro a Nars Skilled Nursing
Facility
Panagadal a Pangduktal iti Sakit mainaig iti Pannaturog Sleep
Diagnostic Studies
Medisina para iti saksakit mainaig iti Pannaturog Sleep
Medicine
Pannakataripato a Pannakilangen iti Tattao iti Aldaw
Social Day Care
Medisina mainaig iti Pannakadangran ti Duri Spinal Cord Injury
Medicine
Medisina mainaig iti Isports Sports Medicine
www.ohanahealthplan.com | XIII
* These are only some of the provider types. You can find a
specific kind of provider in the Specialty Index. It can be found
in the back of this book.
* Sumagmamano laeng dagitoy kadagiti kita ti mangipapaay serbisyo.
Masarakanyo ti ispesipiko a kita ti mangipapaay serbisyo iti Indise
ti Espesyalidad. Masarakan daytoy iti likod daytoy a libro.
Ilocano Ingles
Sobra a Panagusar iti Substansya Substance Abuse
Pannaka-operar ti tumor a kanser Surgical Oncology
Pannakabantay ti Puso babaen iti Teknolohiya ti Impormasyon
Tele-Cardiac Monitoring
Operasyon ti Barukong ken Puso ken Ur-urat
Thoracic & Cardiovascular Surgery
Barukong/Ur-urat Thoracic/Vascular
Sentro ti Pannakataripato a Kasapulan Unay Urgent Care Center
Benneg ti medisina para iti saksakit ti panagisbo Urology
Onkolohiya ti Panagisbo Urology Oncology
Benneg ti medisina para iti saksakit ti panagisbo/
Hinekolohiya
Urology/Gynecology
Benneg ti Medisina mainaig kadagiti Ur-urat Vascular Medicine
Operasyon ti Ur-urat Vascular Surgery
www.ohanahealthplan.com | XIV
Family Practice
Logalbo, Elizabeth DO Provider ID: 1766623 Gender: Female Straub
Clinic Lanai 628 B Seventh St Lanai City, HI 96763 (808) 565-6423
Fax: (808) 565-7480 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
www.ohanahealthplan.com | 1
Updated: 07/03/2019
Family Practice
Aberin, Alex MD Provider ID: 484403 Gender: Male Kauka Express 2100
Kanoelehua Ave Ste B-9 Hilo, HI 96720 (808) 981-1700 Fax: (808)
981-1701 00 Yrs/130 Yrs Languages: Tagalog, Ilocano M-F 8:30 AM -
4:30 PM Sat 8:30 AM - 11:30 PM PCMH: No
& Akiona, Kaohimanu MD
Provider ID: 1795960 Gender: Female Hui Malama Ola Na Oiwi 73
Puuhonu Pl Ste 101 Hilo, HI 96720 (808) 969-9220 Fax: (808)
961-4794 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No
Chapple, Will MD & ~ Provider ID: 1604371 Gender: Male Paniolo
Pediatric and Family Medici 64-1032 Mamalahoa Hwy Ste 204 Kamuela,
HI 96743 (808) 887-6543 Fax: (808) 887-6294 00 Yrs/130 Yrs M-F 8:00
AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 2
Donaugh Rae, Doede DO *9
Provider ID: 1314753 Gender: Female Ka'U Wellness 92-8691 Lotus
Blossom Lane Ste 6 Ocean View, HI 96737 (808) 939-8100 Fax: (808)
829-3672 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No
Duerler, Timothy MD (5 Provider ID: 610913 Gender: Male Mango
Medical 64-1032 Mamalahoa Hwy Ste 306 Kamuela, HI 96743 (808)
769-5010 Fax: (808) 829-3603 00 Yrs/130 Yrs Hilo Medical Center M-F
8:00 AM - 5:00 PM PCMH: No
Gedayloo, Sheareen MD Provider ID: 1245609 Gender: Female 1028
Kinoole St Ste 101 Hilo, HI 96720 (808) 935-1193 Fax: (808)
969-1224 12 Yrs/130 Yrs MTTHF 9:00 AM - 4:30 PM W 9:00 AM - 12:00
PM PCMH: No
Gedayloo, Sheareen MD Provider ID: 1796176 Gender: Female Hawaii
Island Healthcare Inc 75 Puuhonu Pl Ste 205 Hilo, HI 96720 (808)
969-3814 Fax: (808) 934-7496 00 Yrs/130 Yrs MF 7:00 AM - 3:00 PM
TTH 10:00 AM - 6:00 PM W 7:00 AM - 12:00 PM PCMH: No
Howard, Sarah MD Provider ID: 1404662 Gender: Female Ka'U Hospital
1 Kamani St Pahala, HI 96777 (808) 932-4205 Fax: (808) 928-2030 00
Yrs/130 Yrs M-F 8:00 AM - 4:45 PM PCMH: No
Johnson, Dwight MD
Provider ID: 1419762 Gender: Male Ka'U Hospital 1 Kamani St Pahala,
HI 96777 (808) 932-4205 Fax: (808) 928-2030 00 Yrs/130 Yrs M 8:00
AM - 4:45 PM PCMH: No
Updated: 07/03/2019
Family Practice - cont.
Kong, Natalie MD & ~ Provider ID: 1273458 Gender: Female North
Hawaii Community Hospital 67-1123 Mamalahoa Hwy Ste 120 Kamuela, HI
96743 (808) 885-9606 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
Kong, Natalie MD ~
Provider ID: 1273459 Gender: Female North Hawaii Community Hospital
65-1267 Kawaihae Rd Kamuela, HI 96743 (808) 881-4745 Fax: (808)
881-4785 00 Yrs/130 Yrs North Hawaii Community Hospital M-F 8:00 AM
- 5:00 PM PCMH: No
Kurap, John MD Provider ID: 1541474 Gender: Male Five Mountains
Hawaii, Inc 64-1035 Mamalahoa Hwy Ste F Kamuela, HI 96743 (808)
885-5900 Fax: (808) 885-6900 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM
PCMH: No
www.ohanahealthplan.com | 3
Kurohara, Kevin MD Provider ID: 1796165 Gender: Male Hawaii Island
Healthcare Inc 75 Puuhonu Pl Ste 205 Hilo, HI 96720 (808) 969-3814
Fax: (808) 934-7496 00 Yrs/130 Yrs MF 7:00 AM - 3:00 PM TTH 10:00
AM - 6:00 PM W 7:00 AM - 12:00 PM PCMH: No
Lee-Chingg , Richard MD
Provider ID: 484228 Gender: Male Ehipa 780 Laukapu St Hilo, HI
96720 (808) 961-6922 Fax: (808) 935-6640 12 Yrs/130 Yrs M-F 8:30 AM
- 5:00 PM PCMH: No
Meeker, William MD
Provider ID: 1651228 Gender: Male Linden Family Medicine Clinic LLC
400 Hualani St Ste 196 Hilo, HI 96720 (808) 961-0146 Fax: (808)
969-3378 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No
Nakamura, David MD Provider ID: 473966 Gender: Male Hilo Family
Medicine 670 Ponahawai St Ste 216 Hilo, HI 96720 (808) 934-8989
Fax: (808) 934-8990 02 Yrs/130 Yrs Hilo Medical Center M-F 8:00 AM
- 5:00 PM PCMH: No
Nguyen, Tuyngoc MD ~
Provider ID: 1829965 Gender: Female Hawaii Family Health Inc 50
Ululani St Hilo, HI 96720 (808) 933-2399 Fax: (808) 679-0767 00
Yrs/130 Yrs MTTHFSat 8:00 AM - 5:00 PM W 8:00 AM - 6:00 PM PCMH:
No
Parker, Russell DO & ~ Provider ID: 1357509 Gender: Male Mango
Medical 64-1032 Mamalahoa Hwy Ste 306 Kamuela, HI 96743 (808)
769-5010 Fax: (808) 829-3603 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM
PCMH: No
Updated: 07/03/2019
Family Practice - cont.
Perlas, Maria-Stella MD Provider ID: 485426 Gender: Female Waimea
Medical Associates 65-1267 Kawaihae Rd Kamuela, HI 96743 (808)
885-5448 Fax: (808) 885-4120 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM
W 8:00 AM - 4:00 PM PCMH: No
Thomas, Frances DO
Provider ID: 1245613 Gender: Female Alii Health Center 78-6831 Alii
Dr Ste 328 Kailua Kona, HI 96740 (808) 747-8321 Fax: (808) 334-0930
00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No
Thomas, Stephen DO
Provider ID: 1250074 Gender: Male Alii Health Center 78-6831 Alii
Dr Ste 328 Kailua Kona, HI 96740 (808) 747-8321 Fax: (808) 334-0930
00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No
www.ohanahealthplan.com | 4
Walker, Jennifer MD Provider ID: 1263963 Gender: Female Hilo
Medical Center Hawaii Island Fami 1190 Waianueue Ave Hilo, HI 96720
(808) 932-4215 Fax: (808) 933-9291 00 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: No
Williams, Bradford MD Provider ID: 1246196 Gender: Male Alii Health
Center 78-6831 Alii Dr Ste 328 Kailua Kona, HI 96740 (808) 747-8321
Fax: (808) 334-0930 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH:
No
Yamaguchi, Gaku MD Provider ID: 1800939 Gender: Male Hui Malama Ola
Na Oiwi 73 Puuhonu Pl Ste 101 Hilo, HI 96720 (808) 932-4215 Fax:
(808) 961-4794 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No
Fqhc
Hamakua& Health Center Inc
Provider ID: 130948 Hamakua Health Center 45-549 Plumeria St
Honokaa, HI 96727 (808) 775-7204 Fax: (808) 775-9404 00 Yrs/130 Yrs
Languages: Spanish, Tagalog, Ilocano M-F 8:00 AM - 7:00 PM Sat 9:00
AM - 1:00 PM PCMH: Yes, Level 1
Hilo Family Health Center Provider ID: 477698 1178 Kinoole St Ste B
Hilo, HI 96720 (808) 969-1427 Fax: (808) 961-4909 00 Yrs/130 Yrs
M-F 7:00 AM - 7:00 PM PCMH: No
Hilo Women's Health Center
Provider ID: 556751 Hilo Womens Health Center 73 Puuhonu Pl Ste 204
Hilo, HI 96720 (808) 333-3500 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM
PCMH: No
Kau Family Health Center Provider ID: 496499 95-5583 Mamalahoa Hwy
Naalehu, HI 96772 (808) 929-7311 Fax: (808) 929-9087 00 Yrs/130 Yrs
M-F 8:00 AM - 5:00 PM PCMH: No
Updated: 07/03/2019
Ke& aau Family Health Center
Provider ID: 498698 16-192 Pili Mua St Keaau, HI 96749 (808)
930-0400 Fax: (808) 966-4028 00 Yrs/130 Yrs M-F 7:00 AM - 6:00 PM
PCMH: Yes, Level 3
Pahoa& Family Health Center
Provider ID: 498705 15-2866 Pahoa Village Rd Pahoa, HI 96778 (808)
965-9711 Fax: (808) 965-6240 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM
PCMH: Yes, Level 2
Pahoa Women and& Childrens Health Center Provider ID: 501609
Pahoa Women and Children's Health Center 15-2866 Pahoa Vlg Rd Bldg
F Pahoa, HI 96778 (808) 965-3038 Fax: (808) 965-9895 12 Yrs/130 Yrs
M-W 7:00 AM - 6:00 PM PCMH: No
West Hawaii Communit& y Health Center Provider ID: 1238250
Kealakekua Adult and Family Site 81980 Halekii St Ste 107
Kealakekua, HI 96750 (808) 324-0703 Fax: (808) 324-0715 00 Yrs/130
Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
www.ohanahealthplan.com | 5
West Hawaii Communit& y Health Center Provider ID: 493039
Kuakini Site 75 5751 Kuakini Hwy Ste 101A Kailua Kona, HI 96740
(808) 326-5629 Fax: (808) 329-5057 00 Yrs/130 Yrs M-TH 8:00 AM -
7:00 PM FSat 8:00 AM - 5:00 PM PCMH: No
West Hawaii Communit& y Health Center Waik Provider ID: 819212
Waikoloa Site 68 1845 Waikoloa Rd Ste 207 Waikoloa, HI 96738 (808)
769-5160 Fax: (808) 769-5161 00 Yrs/110 Yrs M-F 8:30 AM - 4:30 PM
PCMH: No
West Hawaii Communit& y Keiki Health Center Provider ID: 510772
Kealakekua Keiki Site 81 6627 Mamalahoa Hwy Ste 106 Kealakekua, HI
96750 (808) 323-8005 Fax: (808) 323-2255 00 Yrs/18 Yrs Languages:
Spanish, Mandarin M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM
PCMH: No
General Practice
Bade, Ernest MD Provider ID: 459434 Gender: Male 260 Osorio Ln
Hilo, HI 96720 (808) 969-9399 Fax: (808) 969-9499 00 Yrs/130 Yrs
Hilo Medical Center M-F 8:00 AM - 5:00 PM PCMH: No
& Genio, Dominador MD Provider ID: 495529 Gender: Male Alii
Bariatric Center 75-5995 Kuakini Hwy Ste 427 Kailua Kona, HI 96740
(808) 329-3588 Fax: (808) 329-3233 18 Yrs/110 Yrs Languages:
Tagalog, Ilocano M-F 9:00 AM - 5:00 PM PCMH: No
Koga, Roy MD Provider ID: 1414813 Gender: Male Roy M Koga 670
Ponahawai St Ste 120 Hilo, HI 96720 (808) 961-2673 Fax: (808)
961-3051 00 Yrs/130 Yrs Languages: Japanese, Ilocano MTTHF 8:00 AM
- 4:30 PM W 8:00 AM - 12:00 PM PCMH: No
Updated: 07/03/2019
General Practice - cont.
Pekala, Richard MD Provider ID: 494171 Gender: Male Kona Kohala
Health Care Services 75-137 Hualalai Rd Kailua Kona, HI 96740 (808)
329-1346 Fax: (808) 329-1468 05 Yrs/130 Yrs M-F 8:15 AM - 4:30 PM
PCMH: No
Salcedo, Gina MD & ~ Provider ID: 1652769 Gender: Female Big
Island Family Medicine Inc 670 Ponahawai St Ste 207 Hilo, HI 96720
(808) 365-5988 Fax: (808) 365-5989 00 Yrs/130 Yrs M-TH 8:00 AM -
2:00 PM PCMH: No
Young, Patrick MD & ~ Provider ID: 1772032 Gender: Male Linden
Family Medicine Clinic LLC 400 Hualani St Ste 196 Hilo, HI 96720
(808) 961-0146 Fax: (808) 969-3378 00 Yrs/130 Yrs M-F 8:00 AM -
5:00 PM PCMH: No
www.ohanahealthplan.com | 6
Internal Medicine
Abeyta, Carlos MD Provider ID: 529820 Gender: Male Carlos R Abeyta
MD 82 Puuhonu Pl Ste 206 Hilo, HI 96720 (808) 969-9888 Fax: (808)
969-9881 12 Yrs/130 Yrs Hilo Medical Center M-F 8:00 AM - 4:30 PM
PCMH: No
Barnes, Wendy MD Provider ID: 453830 Gender: Female Barnes Hunt Inc
868 Ululani St Ste 101 Hilo, HI 96720 (808) 935-3883 Fax: (808)
969-9224 12 Yrs/130 Yrs Languages: Japanese M-W 8:00 AM - 5:00 PM
TH 8:00 AM - 6:00 PM F 8:00 AM - 12:00 PM PCMH: No
Belcher, Daniel MD Provider ID: 469051 Gender: Male 73 Puuhonu Pl
Ste 104 Hilo, HI 96720 (808) 934-2012 Fax: (808) 934-2041 12
Yrs/130 Yrs Hilo Medical Center MTWF 8:00 AM - 5:00 PM THSat 8:00
AM - 12:00 PM PCMH: No
Choe, Unpok MD Provider ID: 479896 Gender: Male Alii Health Center
78-6831 Alii Dr Ste 328 Kailua Kona, HI 96740 (808) 747-8321 Fax:
(808) 334-0930 12 Yrs/130 Yrs Kona Community Hospital Languages:
Korean M-F 8:00 AM - 4:30 PM PCMH: No
Chowdhury, Pradeepta MD Provider ID: 483212 Gender: Male 670
Ponahawai St Ste 116 Hilo, HI 96720 (808) 961-3404 Fax: (808)
961-5460 12 Yrs/130 Yrs Languages: Hindi, Bengali M-F 8:00 AM -
4:30 PM PCMH: No
Dawson, John MD Provider ID: 485794 Gender: Male 65-1267 Kawaihae
Rd Kamuela, HI 96743 (808) 887-6460 Fax: (808) 887-6441 12 Yrs/130
Yrs PCMH: No
Updated: 07/03/2019
Internal Medicine - cont.
Dawson, John MD Provider ID: 485794 Gender: Male Waimea Medical
Associates 67-1123 Mamalahoa Hwy Ste 134 Kamuela, HI 96743 (808)
885-0342 Fax: (808) 885-1795 12 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM
W 8:00 AM - 4:00 PM PCMH: No
Gau, Ly DO Provider ID: 647919 Gender: Female Alii Health Center
78-6831 Alii Dr Ste 328 Kailua Kona, HI 96740 (808) 334-0900 Fax:
(808) 334-0930 18 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No
Jung, David MD Provider ID: 445649 Gender: Male 41 Hoku St Hilo, HI
96720 (808) 935-5768 Fax: (808) 935-7219 18 Yrs/130 Yrs Languages:
Thai MTTHF 8:00 AM - 5:00 PM W 8:00 AM - 1:00 PM PCMH: No
www.ohanahealthplan.com | 7
Matsuo, Leon MD Provider ID: 1836604 Gender: Male Kukui Lifestyle
Medicine Clinic 78-6831 Alii Dr Ste B110 Kailua Kona, HI 96740
(808) 825-6557 Fax: (808) 731-6511 05 Yrs/130 Yrs M-TH 8:30 AM -
5:00 PM F 8:30 AM - 1:30 PM PCMH: No
Nikaitani, Donald MD Provider ID: 486751 Gender: Male Kona Kohala
Health Care Servic 75-137 Hualalai Rd Kailua Kona, HI 96740 (808)
329-1346 Fax: (808) 329-1468 12 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM
PCMH: No
Osedo Bleecher, Vanessa MD Provider ID: 1557657 Gender: Female
Mauna Kea Medical LLC 64-1035 Mamalahoa Hwy Ste K Kamuela, HI 96743
(808) 885-9794 Fax: (808) 883-9683 12 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: No
Satta, Sukchai MD Provider ID: 1070212 Gender: Male Sukchai Satta,
MD, Inc 79-7266 Mamalahoa Hwy Ste 2 Kealakekua, HI 96750 (808)
322-9324 Fax: (808) 322-9234 12 Yrs/130 Yrs MTTHF 8:30 AM - 3:30 PM
W 8:30 AM - 12:00 PM PCMH: No
Shikuma, Cecilia MD ~
Provider ID: 1204416 Gender: Female Ucera At Hawaii Island Clinic
75-5751 Kuakini Hwy Ste 104 Kailua Kona, HI 96740 (808) 327-5170 05
Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: No
&
Internal Medicine - cont.
Tatsuno, Sydney MD Provider ID: 452382 Gender: Male 868 Ululani St
Ste 102 Hilo, HI 96720 (808) 969-1671 Fax: (808) 969-7557 12
Yrs/130 Yrs Hilo Medical Center M-TH 8:00 AM - 5:30 PM F 8:00 AM -
12:30 PM PCMH: No
& Vally Mahomed, Zain MD ~
Provider ID: 1323553 Gender: Male Vally Medical Group 345 Kauila St
Hilo, HI 96720 (808) 333-3544 Fax: (808) 333-3545 12 Yrs/130 Yrs
M-F 8:00 AM - 4:00 PM PCMH: No
& Vally Mahomed, Zain MD Provider ID: 1332557 Gender: Male
Vally Medical Group 81-6587 Mamalahoa Hwy Ste A101 Kealakekua, HI
96750 (808) 935-6353 Fax: (808) 333-3545 12 Yrs/130 Yrs M-F 8:00 AM
- 4:00 PM PCMH: No
www.ohanahealthplan.com | 8
Obstetrics/Gynecology
Kuwahara, Melissa MD Provider ID: 1652760 Gender: Female Melissa K
Kuwahara MD, LLC 75 Puuhonu Place Ste 204 Hilo, HI 96720 (808)
731-7409 Fax: (808) 731-7410 21 Yrs/130 Yrs M-F 7:30 AM - 4:30 PM
PCMH: No
Nitta, Frederick MD Provider ID: 502058 Gender: Male Frederick A
Nitta MD 670 Ponahawai St Ste 200 Hilo, HI 96720 (808) 961-5922
Fax: (808) 969-1924 12 Yrs/130 Yrs Hilo Medical Center M-F 7:30 AM
- 4:30 PM PCMH: No
Pediatrics
Choy, Darrett MD Provider ID: 459454 Gender: Male Darrett Choy MD
LLC 275 Ponahawai St Ste 106 Hilo, HI 96720 (808) 961-0022 Fax:
(808) 969-3852 00 Yrs/21 Yrs Hilo Medical Center MTTHF 8:00 AM -
4:30 PM W 8:00 AM - 1:00 PM PCMH: No
Craddock, Shallon MD ~
Provider ID: 1074786 Gender: Female Hilo Medical Center 45 Mohouli
St Ste 101 Hilo, HI 96720 (808) 932-4220 Fax: (808) 933-7672 00
Yrs/21 Yrs M-F 8:00 AM - 4:30 PM PCMH: No
Craddock, Shallon MD e Provider ID: 1413213 Gender: Female Sunshine
Pediatric Clinic 199 Ululani St Ste A Hilo, HI 96720 (808) 935-5544
Fax: (808) 935-5566 00 Yrs/18 Yrs MTH 8:00 AM - 4:00 PM T 12:00 AM
- 4:00 PM W 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM PCMH: No
Dangelo, Joseph MD Provider ID: 484656 Gender: Male Island
Pediatrics Inc 198 Ponahawai St Hilo, HI 96720 (808) 933-2982 Fax:
(808) 933-2983 00 Yrs/21 Yrs MTTHF 8:30 AM - 4:30 PM W 8:30 AM -
12:30 PM PCMH: No
Updated: 07/03/2019
Ferguson, Brett MD
Provider ID: 1420792 Gender: Male Paniolo Pediatric and Family
Medici 64-1032 Mamalahoa Hwy Ste 204 Kamuela, HI 96743 (808)
887-6543 Fax: (808) 887-6294 00 Yrs/21 Yrs Languages: Spanish,
Tagalog M-F 9:00 AM - 5:00 PM PCMH: No
Ferguson, Brett MD Provider ID: 1459676 Gender: Male Paniolo
Pediatric and Family Medici 64-1032 Mamalahoa Hwy Ste 204 Kamuela,
HI 96743 (808) 887-6543 Fax: (808) 887-6294 00 Yrs/21 Yrs M-F 9:00
AM - 5:00 PM PCMH: No
Ferguson, Brett MD Provider ID: 953545 Gender: Male 64 1032
Mamalahoa Hwy Ste 204 Kamuela, HI 96743 (808) 887-6543 Fax: (808)
887-6294 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 9
Gregg, Peter MD Provider ID: 1420789 Gender: Male Paniolo Pediatric
and Family Medici 64-1032 Mamalahoa Hwy Ste 204 Kamuela, HI 96743
(808) 887-6543 Fax: (808) 887-6294 00 Yrs/21 Yrs M-F 9:00 AM - 5:00
PM PCMH: No
Gregg, Peter MD &~ Provider ID: 479211 Gender: Male Paniolo
Pediatric and Family Medici 64 1032 Mamalahoa Hwy Ste 204 Kamuela,
HI 96743 (808) 887-6543 Fax: (808) 887-6294 00 Yrs/17 Yrs Kona
Community Hospital North Hawaii Community Hospital M-F 8:00 AM -
5:00 PM PCMH: No
Ishii, Jon MD Provider ID: 1638316 Gender: Male Paniolo Pediatric
and Family Medici 75-170 Hualalai Rd Ste D214 Kailua Kona, HI 96740
(808) 325-5805 Fax: (808) 657-4796 00 Yrs/21 Yrs M-F 8:00 AM - 5:00
PM PCMH: No
Kaplan, Steven MD ~
Provider ID: 1420787 Gender: Male Paniolo Pediatric and Family
Medici 64-1032 Mamalahoa Hwy Ste 204 Kamuela, HI 96743 (808)
887-6543 Fax: (808) 887-6294 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Kaplan, Steven MD Provider ID: 478593 Gender: Male Paniolo
Pediatric and Family Medici 64 1032 Mamalahoa Hwy Ste 204 Kamuela,
HI 96743 (808) 887-6543 Fax: (808) 887-6294 00 Yrs/17 Yrs
Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No
Matsuo, Leon MD Provider ID: 1836604 Gender: Male Kukui Lifestyle
Medicine Clinic 78-6831 Alii Dr Ste B110 Kailua Kona, HI 96740
(808) 825-6557 Fax: (808) 731-6511 05 Yrs/130 Yrs M-TH 8:30 AM -
5:00 PM F 8:30 AM - 1:30 PM PCMH: No
Updated: 07/03/2019
Pediatrics - cont.
Meurs, Wanda MD Provider ID: 488966 Gender: Female 120 Pauahi St
Ste 305 Hilo, HI 96720 (808) 969-3222 Fax: (808) 961-0046 00 Yrs/21
Yrs MWF 8:30 AM - 4:30 PM T 8:30 AM - 3:00 PM TH 8:30 AM - 12:00 PM
PCMH: No
Perrin Hernandez, Melissa MD Provider ID: 1436733 Gender: Female
Paniolo Pediatric and Family Medici 75-170 Hualalai Rd Ste D214
Kailua Kona, HI 96740 (808) 325-5805 Fax: (808) 657-4796 00 Yrs/21
Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Perrin Hernandez, Melissa MD & ~ Provider ID: 1455876 Gender:
Female Paniolo Pediatrics LLC 64-1032 Mamalahoa Hwy Ste 204
Kamuela, HI 96743 (808) 887-6543 Fax: (808) 887-6294 00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 10
Perrin Hernandez, Melissa MD Provider ID: 1455877 Gender: Female
Paniolo Pediatrics LLC 65-1692 Kohala Mountain Rd Kamuela, HI 96743
(808) 887-6543 Fax: (808) 887-6294 00 Yrs/21 Yrs M-F 9:00 AM - 5:00
PM PCMH: No
Pulling, Melissa MD Provider ID: 1643372 Gender: Female Paniolo
Pediatric and Family Medici 64-1032 Mamalahoa Hwy Ste 204 Kamuela,
HI 96743 (808) 887-6543 Fax: (808) 887-6294 00 Yrs/21 Yrs M-F 8:00
AM - 5:00 PM PCMH: No
Wilson, Brian MD Provider ID: 459618 Gender: Male Darrett Choy MD
LLC 275 Ponahawai St Ste 106 Hilo, HI 96720 (808) 961-0022 Fax:
(808) 969-3852 00 Yrs/21 Yrs Hilo Medical Center MTTHF 8:00 AM -
4:30 PM W 8:00 AM - 1:00 PM PCMH: No
Rhc
Kau Hospital Provider ID: 480577 1 Kamani St Pahala, HI 96777 (808)
932-4205 Fax: (808) 928-8980 00 Yrs/130 Yrs Languages: Filipino,
Japanese M-F 9:00 AM - 5:00 PM PCMH: No
Updated: 07/03/2019
Bautista, Rainier MD
Provider ID: 1184841 Gender: Male Charlie Y Sonido MD Inc 3216 Elua
St Lihue, HI 96766 (808) 246-3800 Fax: (808) 246-3801 15 Yrs/130
Yrs Languages: Tagalog M-F 6:30 AM - 4:30 PM Sat 6:30 AM - 12:00 PM
PCMH: No
Collins, Bridget MD
Provider ID: 1440006 Gender: Female Kauai Medical Clinic 3-3420
Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1500 00 Yrs/130 Yrs M-F
9:00 AM - 5:00 PM PCMH: No
Collins, Bridget MD Provider ID: 1549735 Gender: Female Bridget
Collins MD LLC 4463 Pahee St Ste 209 Lihue, HI 96766 (808) 212-9867
Fax: (434) 333-7504 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH:
No
www.ohanahealthplan.com | 11
Krebs, Clara MD Provider ID: 567155 Gender: Female Kauai Medical
Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 335-0499 00
Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Krebs, Clara MD Provider ID: 567157 Gender: Female Kauai Medical
Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 335-0499 00
Yrs/130 Yrs Wilcox Memorial Hospital M-F 9:00 AM - 5:00 PM PCMH:
No
Krebs, Clara MD Provider ID: 567157 Gender: Female Kauai Medical
Clinic 4382 Waialo Rd Eleele, HI 96705 (808) 335-0499 00 Yrs/130
Yrs Wilcox Memorial Hospital M-F 9:00 AM - 5:00 PM PCMH: Yes, Level
1
Lao, Eugene MD Provider ID: 1641703 Gender: Male Kauai Medical
Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1504 00
Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Penner, Steven MD Provider ID: 1526243 Gender: Male Kauai Medical
Clinic 4382 Waialo Rd Eleele, HI 96705 (808) 335-0499 00 Yrs/130
Yrs M-F 8:00 AM - 4:30 PM PCMH: Yes, Level 1
Richardson, Tracey MD Provider ID: 516539 Gender: Female Kauai
Medical Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808)
822-3431 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Richardson, Tracey MD Provider ID: 516539 Gender: Female Kauai
Medical Clinic 4-1105 Kuhio Hwy Ste 101 Kapaa, HI 96746 (808)
822-3431 Fax: (808) 822-2798 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: Yes, Level 1
Scheppers, Dennis MD Provider ID: 1499616 Gender: Male Charlie Y
Sonido MD Inc 3216 Elua St Lihue, HI 96766 (808) 246-3800 Fax:
(808) 246-3801 15 Yrs/130 Yrs Languages: Spanish M-F 8:00 AM - 4:30
PM Sat 8:00 AM - 12:30 PM PCMH: No
Updated: 07/03/2019
Snow Mills, Tracy DO
Provider ID: 1583018 Gender: Female Kauai Medical Clinic 5371 Koloa
Rd Koloa, HI 96756 (808) 742-1621 00 Yrs/130 Yrs M-F 9:00 AM - 5:00
PM PCMH: Yes, Level 1
Williamson, Thomas MD Provider ID: 1526257 Gender: Male Kauai
Medical Clinic 4382 Waialo Rd Eleele, HI 96705 (808) 335-0499 00
Yrs/130 Yrs M-F 8:00 AM - 4:30 PM PCMH: Yes, Level 1
Williamson, Thomas MD Provider ID: 483614 Gender: Male Kauai
Medical Clinic 4382 Waialo Rd Eleele, HI 96705 (808) 335-0499 00
Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 1
Yang, Karsha MD Provider ID: 1783414 Gender: Female Kauai Medical
Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1504 00
Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 12
Yang, Ryan DO Provider ID: 1691589 Gender: Male Kmc 3-3420 Kuhio
Hwy Ste B Lihue, HI 96766 (808) 246-2951 00 Yrs/130 Yrs M-F 9:00 AM
- 5:00 PM PCMH: No
Yap, Bernice MD Provider ID: 1241369 Gender: Female Charlie Y
Sonido MD Inc 3216 Elua St Lihue, HI 96766 (808) 246-3800 Fax:
(808) 246-3801 21 Yrs/130 Yrs M-F 6:30 AM - 4:30 PM Sat 6:30 AM -
12:00 PM PCMH: No
Fqhc
Hoola Lahui Hawaii Provider ID: 477704 4800 Kawaihau Rd Ste D
Kapaa, HI 96746 (808) 240-0170 Fax: (808) 822-9298 00 Yrs/130 Yrs
M-TH 8:00 AM - 4:30 PM PCMH: No
Hoola Lahui Hawaii Provider ID: 483661 4643 B Waimea Canyon Dr
Waimea, HI 96796 (808) 240-0220 Fax: (808) 338-1606 00 Yrs/130 Yrs
M-F 8:00 AM - 4:30 PM PCMH: No
General Practice
Goodale, Richard MD Provider ID: 483673 Gender: Male Kauai Medical
Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1500 00
Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Lanson, Edward MD Provider ID: 1188297 Gender: Male Charlie Y
Sonido MD Inc 3216 Elua St Lihue, HI 96766 (808) 246-3800 Fax:
(808) 246-3801 15 Yrs/130 Yrs M-F 6:30 AM - 4:30 PM Sat 6:30 AM -
12:00 PM PCMH: No
Internal Medicine
Ackerman, Rachel MD Provider ID: 1691575 Gender: Female Kauai
Medical Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808)
245-1504 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Updated: 07/03/2019
Internal Medicine - cont.
Braun, Michael MD ~
Provider ID: 458934 Gender: Male 4473 Pahee St Ste O Lihue, HI
96766 (808) 246-2002 Fax: (808) 246-2700 16 Yrs/130 Yrs Wilcox
Memorial Hospital M-F 8:00 AM - 5:00 PM PCMH: No
Capel li, Thomas MD q &
Provider ID: 491489 Gender: Male Capelli Corp 2490 Oka St Kilauea,
HI 96754 (808) 828-1418 Fax: (808) 828-1666 12 Yrs/130 Yrs M-F 8:00
AM - 5:00 PM PCMH: No
Hillesland, Heidi MD &~ ~
Provider ID: 1245626 Gender: Female Kauai Medical Clinic 3-3420
Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1540 00 Yrs/130 Yrs M-F
9:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 13
Sonido, Charlie MD Provider ID: 1135019 Gender: Male Charlie Y
Sonido MD Inc 3216 Elua St Lihue, HI 96766 (808) 246-3800 Fax:
(808) 246-3801 21 Yrs/130 Yrs Languages: Tagalog, Ilocano MTTHF
7:30 AM - 5:00 PM WSat 7:30 AM - 12:00 PM PCMH: No
Pediatrics
Carreau, Brigitte MD Provider ID: 1832707 Gender: Female Kauai
Medical Clinic 4-1105 Kuhio Hwy Kapaa, HI 96746 (808) 822-3231 Fax:
(808) 822-2798 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Carreau, Brigitte MD
Provider ID: 502622 Gender: Female Kauai Medical Clinic 3-3420
Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1500 00 Yrs/21 Yrs M-F
9:00 AM - 5:00 PM PCMH: No
Galiza, Grace DO & ~ Provider ID: 998898 Gender: Female Kauai
Medical Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808)
245-1561 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Knox, Jami MD Provider ID: 510854 Gender: Female Aloha Pediatrics
LLC 2469-C Puu Rd Kalaheo, HI 96741 (808) 652-0048 Fax: (808)
378-4558 00 Yrs/21 Yrs Kauai Veterans Memorial Hospital Wilcox
Memorial Hospital M-F 8:00 AM - 5:00 PM PCMH: No
Ross, Paul MD Provider ID: 483595 Gender: Male Kauai Medical Clinic
3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1500 00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM PCMH: No
Weiner, Linda MD Provider ID: 483707 Gender: Female Kauai Medical
Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1500 00
Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Wotring, Robert MD Q &
Provider ID: 486855 Gender: Male Kauai Medical Clinic 3-3420 Kuhio
Hwy Ste B Lihue, HI 96766 (808) 245-1561 00 Yrs/21 Yrs M-F 8:00 AM
- 5:00 PM PCMH: No
Updated: 07/03/2019
Pediatrics - cont.
Young, Geri MD Provider ID: 483594 Gender: Female Kauai Medical
Clinic 3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1500 00
Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: No
Yu, Carl MD Provider ID: 693482 Gender: Male Kauai Medical Clinic
3-3420 Kuhio Hwy Ste B Lihue, HI 96766 (808) 245-1561 00 Yrs/130
Yrs M-F 9:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 14
Updated: 07/03/2019
Aldahhan, Nadine DO
Provider ID: 1516093 Gender: Female Straub Lanai Clinic 628 B
Seventh St Lanai City, HI 96763 (808) 565-6423 00 Yrs/130 Yrs M-F
9:00 AM - 5:00 PM PCMH: No
Brackett, Deborah MD Provider ID: 1579470 Gender: Female Straub
Clinic and Hospital Lanai Cl 628 B Seventh St Lanai City, HI 96763
(808) 565-6423 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Janikowski, John DO Provider ID: 505779 Gender: Male Straub Clinic
and Hospital 628-B Seventh St Ste 142 Lanai City, HI 96763 (808)
565-6423 00 Yrs/130 Yrs Straub Clinic Hospital M-F 9:00 AM - 5:00
PM PCMH: No
Logalbo, Elizabeth DO Provider ID: 1766623 Gender: Female Straub
Clinic Lanai 628 B Seventh St Lanai City, HI 96763 (808) 565-6423
Fax: (808) 565-7480 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
www.ohanahealthplan.com | 15
Nakata, Jena DO Provider ID: 1727418 Gender: Female Straub Lanai
628-B Seventh St Lanai City, HI 96763 (808) 565-6423 Fax: (808)
565-7480 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Worthen, David MD Provider ID: 1750597 Gender: Male Starub Clinic
and Hospital 628 B Seventh St Lanai City, HI 96763 (808) 565-6423
Fax: (808) 565-7480 00 Yrs/130 Yrs PCMH: No
Fqhc
Lanai Community Health Center Provider ID: 509596 478 Lauhala Pl
Lanai City, HI 96763 (808) 565-6919 00 Yrs/130 Yrs Languages:
Tagalog, Ilocano MWF 9:00 AM - 7:30 PM TTH 8:30 AM - 5:00 PM Sat
8:00 AM - 2:00 PM PCMH: No
Updated: 07/03/2019
Family Practice
Au, Melinda DO Provider ID: 571382 Gender: Female Maui Medical
Group 2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax: (808)
984-7434 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No
& Bekkum, Curtis MD Provider ID: 1462875 Gender: Male East Maui
Medical Clinic, LLP 4950 Uakea Rd Unit 2 Hana, HI 96713 (808)
248-8840 Fax: (808) 248-8839 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM
PCMH: No
Bekkum, Curtis MD Provider ID: 1499624 Gender: Male Pueo Family
Medicine 1120 Makawao Ave Ste A Makawao, HI 96768 (808) 573-7555
Fax: (808) 573-7666 00 Yrs/130 Yrs M 10:30 AM - 5:00 PM PCMH:
No
Biedel, Anne MD Provider ID: 497147 Gender: Female 2180 Main St
Wailuku, HI 96793 (808) 242-6464 Fax: (808) 984-7434 18 Yrs/130 Yrs
Languages: Spanish, French PCMH: No
www.ohanahealthplan.com | 16
Biedel, Anne MD Provider ID: 497147 Gender: Female Maui Medical
Group, Inc 130 Prison St Lahaina, HI 96761 (808) 661-0051 Fax:
(808) 984-7430 18 Yrs/130 Yrs Languages: Spanish, French M-F 8:00
AM - 9:00 PM Sat-Sun 8:00 AM - 5:00 PM PCMH: No
Boor, Aaron DO & ~ Provider ID: 1654120 Gender: Male Maui
Medical Group Inc 2349 S Kihei Rd Ste 2 Kihei, HI 96753 (808)
270-1528 Fax: (808) 270-4772 00 Yrs/130 Yrs M-F 8:00 AM - 7:00 PM
PCMH: No
Boor, Aaron DO ~ ~ Provider ID: 1654348 Gender: Male Maui Medical
Group Inc 2180 Main St Wailuku, HI 96793 (808) 242-6464 00 Yrs/130
Yrs M-F 8:00 AM - 7:00 PM PCMH: No
g Guzman, MA MD Provider ID: 478587 Gender: Female 2180 Main St
Wailuku, HI 96793 (808) 242-6464 Fax: (808) 984-7434 00 Yrs/130 Yrs
Languages: Tagalog PCMH: No
Guzman, MA MD Provider ID: 478587 Gender: Female Maui Medical Group
55 Pukalani Pukalani, HI 96788 (808) 573-6200 Fax: (808) 573-9240
00 Yrs/130 Yrs Languages: Tagalog M-F 8:00 AM - 5:00 PM Sat-Sun
8:00 AM - 12:00 PM PCMH: No
Guzman, MA MD Provider ID: 478591 Gender: Female 2180 Main St
Wailuku, HI 96793 (808) 242-6464 Fax: (808) 984-7434 00 Yrs/130 Yrs
Languages: Tagalog PCMH: No
Johnson, Lynelle MD & ~ Provider ID: 1756974 Gender: Female
Maui Medical Group Inc 2180 Main St Wailuku, HI 96793 (808)
242-6464 Fax: (808) 984-7434 00 Yrs/130 Yrs MT 8:00 AM - 5:00 PM W
8:00 AM - 12:00 PM PCMH: No
Updated: 07/03/2019
Family Practice - cont.
Johnson, Lynelle MD & ~ Provider ID: 1756976 Gender: Female
Maui Medical Group Inc 55 Pukalani St Pukalani, HI 96768 (808)
573-6200 Fax: (808) 984-7445 00 Yrs/130 Yrs MT 8:00 AM - 5:00 PM W
8:00 AM - 12:00 PM PCMH: No
& Nagasaka, Diane MD Provider ID: 489609 Gender: Female Maui
Medical Group 2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax:
(808) 984-7434 00 Yrs/130 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 8:00 AM
- 12:00 PM PCMH: No
See, Sarah MD Provider ID: 912110 Gender: Female Kihei Wailea
Medical Center LLC 221 Piikea Ave Ste A Kihei, HI 96753 (808)
874-8100 Fax: (808) 874-6887 00 Yrs/130 Yrs Maui Memorial Medical
M-F 9:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 17
Yee, Gayland MD ~
Provider ID: 459627 Gender: Male Kihei Wailea Medical Center 221
Piikea Ave Ste A Kihei, HI 96753 (808) 874-8100 Fax: (808) 874-6887
00 Yrs/130 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun 8:00 AM - 5:00 PM
PCMH: No
Fqhc
Community Clinic of Maui Inc - Lahaina Provider ID: 1778311 Lahaina
Satellite Clinic 15 Ipu Aumakua Ln Lahaina, HI 96761 (808) 667-7598
Fax: (808) 667-7492 00 Yrs/130 Yrs MWTHF 8:30 AM - 7:00 PM T 9:30
AM - 7:00 PM PCMH: No
Community Clinic of Maui Inc - Wailuku & ~ Provider ID: 1778576
Wailuku Satellite Clinic 670 Waiale Rd Lahaina, HI 96761 (808)
244-0220 Fax: (808) 242-7073 00 Yrs/130 Yrs MWTHF 7:45 AM - 5:00 PM
T 9:40 AM - 5:00 PM PCMH: No
Community Clinic of Maui Inc - Wailuku & ~ Provider ID: 522208
Main Clinic Ooka Building 1881 Nani St Lahaina, HI 96761 (808)
871-7772 Fax: (808) 872-4029 00 Yrs/130 Yrs MWTHF 7:45 AM - 5:00 PM
T 9:40 AM - 6:00 PM PCMH: No
General Practice
Bird, Robert MD Provider ID: 1217216 Gender: Male Makana O Ka Ola
Health and Wellness 2099 Wells St Wailuku, HI 96793 (808) 442-3245
Fax: (808) 829-3594 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
&
General Practice - cont.
Mastroianni, Robert MD ~
Provider ID: 483793 Gender: Male Rob Mastroianni MD Inc 81 Makawao
Ave Ste 100 Makawao, HI 96768 (808) 573-8900 Fax: (808) 573-7505 00
Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No
Mathias, Deborah MD Provider ID: 489592 Gender: Female Maui Medical
Group 2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax: (808)
984-7434 02 Yrs/130 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 8:00 AM -
12:00 PM PCMH: No
Mathias, Deborah MD Provider ID: 489596 Gender: Female Maui Medical
Group 55 Pukalani St Ste 11 Makawao, HI 96768 (808) 573-6200 Fax:
(808) 984-7445 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Sat-Sun 8:00 AM
- 12:00 PM PCMH: No
www.ohanahealthplan.com | 18
Internal Medicine
Arruda, Nolan MD Provider ID: 476970 Gender: Male Maui Medical
Group 2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax: (808)
984-7434 18 Yrs/130 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 8:00 AM -
12:00 PM PCMH: No
Arruda, Nolan MD Provider ID: 476971 Gender: Male Maui Medical
Group 130 Prison St Lahaina, HI 96761 (808) 661-0051 Fax: (808)
242-4292 18 Yrs/130 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 8:00 AM -
5:00 PM PCMH: No
Fusato, Ryan MD Provider ID: 476948 Gender: Male Maui Medical Group
2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax: (808) 984-7434
18 Yrs/130 Yrs Maui Memorial Medical M-F 8:00 AM - 5:00 PM PCMH:
No
Garcia, Daniel MD Provider ID: 476633 Gender: Male Maui Medical
Group 2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax: (808)
984-7434 12 Yrs/130 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 8:00 AM -
12:00 PM PCMH: No
Griffin, Marcus MD Provider ID: 459474 Gender: Male Kihei Wailea
Medical Center 221 Piikea Ave Ste A Kihei, HI 96753 (808) 874-8100
Fax: (808) 874-6887 12 Yrs/130 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun
8:00 AM - 5:00 PM PCMH: No
Illastron, Derek MD & ~ Provider ID: 1191727 Gender: Male Maui
Medical Group 2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax:
(808) 984-7434 12 Yrs/130 Yrs Maui Memorial Medical M-F 8:00 AM -
5:00 PM PCMH: No
Updated: 07/03/2019
Internal Medicine - cont.
Johnsen, Samuel MD & ~ Provider ID: 1691565 Gender: Male Laulea
Health Center 180 Dickenson St Ste 103 Lahaina, HI 96761 (808)
214-5985 Fax: (808) 214-6766 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Kato, Kevin MD Provider ID: 673359 Gender: Male 169 Maa St Ste 100
Kahului, HI 96732 (808) 877-2020 Fax: (808) 877-6060 21 Yrs/130 Yrs
MTTHF 8:00 AM - 5:00 PM W 8:00 AM - 12:00 PM PCMH: No
Kepler, Kenneth MD Provider ID: 459501 Gender: Male Kihei Wailea
Medical Center 221 Piikea Ave Ste A Kihei, HI 96753 (808) 874-8100
Fax: (808) 874-6887 00 Yrs/130 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun
8:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 19
Williams, Donelle MD ~
Provider ID: 497026 Gender: Female Maui Medical Group 2180 Main St
Wailuku, HI 96793 (808) 242-6464 Fax: (808) 984-7434 00 Yrs/130 Yrs
Maui Memorial Medical M-F 8:00 AM - 9:00 PM Sat-Sun 8:00 AM - 12:00
PM PCMH: No
Pediatrics
Baum, Frank MD Provider ID: 475420 Gender: Male 200 Kalepa Pl Ste
100 Kahului, HI 96732 (808) 871-7116 Fax: (808) 877-4134 00 Yrs/18
Yrs Languages: Spanish MTTHF 8:00 AM - 5:00 PM W 8:00 AM - 12:00 PM
PCMH: No
Bha& ttacharya, Roxanne MD
Provider ID: 476987 Gender: Female Maui Medical Group 55 Pukalani
Pukalani, HI 96788 (808) 573-6200 Fax: (808) 573-9240 00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM Sat-Sun 8:00 AM - 12:00 PM PCMH: No
Bhattacharya, Roxanne MD Provider ID: 476995 Gender: Female Maui
Medical Group 2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax:
(808) 984-7434 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Clark, Steve MD Provider ID: 463197 Gender: Male 1885 Main St Ste
405 Wailuku, HI 96793 (808) 242-8526 Fax: (808) 242-8527 00 Yrs/18
Yrs MTWF 8:30 AM - 5:00 PM TH 8:30 AM - 12:00 PM PCMH: No
Hessel, Melissa MD & ~ Provider ID: 1708375 Gender: Female Maui
Medical Group Inc 130 Prison St Lahaina, HI 96761 (808) 661-0051
Fax: (808) 984-7430 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
Ho, Matthew MD Provider ID: 476777 Gender: Male Maui Medical Group
2180 Main St Wailuku, HI 96793 (808) 242-6464 Fax: (808) 243-2385
00 Yrs/21 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 8:00 AM - 12:00 PM
PCMH: No
. Updated: 07/03/2019
Pediatrics - cont.
Koch, Robert DO & ~ Provider ID: 1535285 Gender: Male Kihei
Wailea Medical Center 221 Piikea Ave Ste A Kihei, HI 96753 (808)
874-8100 Fax: (808) 874-6888 00 Yrs/21 Yrs M-F 8:00 AM - 8:00 PM
Sat-Sun 8:00 AM - 5:00 PM PCMH: No
Montijo, Jennie DO Provider ID: 1122786 Gender: Female Maui
Memorial Medical Center 221 Mahalani St Wailuku, HI 96793 (808)
442-5700 Fax: (808) 442-5701 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM
PCMH: No
Yamada, Thelma MD
Provider ID: 463211 Gender: Female 1827 Wells St Wailuku, HI 96793
(808) 242-8526 Fax: (808) 242-8527 00 Yrs/18 Yrs MTTHF 8:30 AM -
5:00 PM W 8:30 AM - 12:00 PM PCMH: No
www.ohanahealthplan.com | 20
&
Fqhc
Molokai Community Health Center &~ Provider ID: 483506 30 Oki
Pl Kaunakakai, HI 96748 (808) 553-5038 Fax: (808) 553-5194 00
Yrs/130 Yrs M-F 7:00 AM - 6:00 PM PCMH: No
Internal Medicine
Thomas, William MD Provider ID: 491347 Gender: Male Molokai General
Hospital 280 Home Olu Pl Kaunakakai, HI 96748 (808) 553-3121 Fax:
(808) 553-3112 00 Yrs/130 Yrs Molokai General Hospital M-F 7:00 AM
- 6:00 PM PCMH: No
Rhc
Molokai General Hospital Rhc Provider ID: 1407488 280 Home Olu Pl
Kaunakakai, HI 96748 (808) 553-3121 Fax: (808) 553-3112 00 Yrs/130
Yrs M-F 7:00 AM - 6:00 PM PCMH: No
www.ohanahealthplan.com | 21
Updated: 07/03/2019
Aggarwal, Lovedhi MD
Provider ID: 1128756 Gender: Male Physician Center At Mililani
95-390 Kuahelani Ave Ste 4C Mililani, HI 96789 (808) 627-3200 Fax:
(808) 623-7872 00 Yrs/130 Yrs Wahiawa General Hospital M-F 8:00 AM
- 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
Akina, Kristen MD Provider ID: 819007 Gender: Female Straub Clinic
and Hospital 95-1249 Meheula Pkwy Unit 187 Mililani Town, HI 96789
(808) 625-6444 Fax: (808) 623-2552 00 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: Yes, Level 1
Alquero, Eduardo MD Provider ID: 456703 Gender: Male 94-141
Pupupuhi St Waipahu, HI 96797 (808) 676-2271 Fax: (808) 678-1894 03
Yrs/130 Yrs Languages: Filipino MTTHF 9:00 AM - 5:00 PM WSat 9:00
AM - 12:00 PM PCMH: No
www.ohanahealthplan.com | 22
Bautista, Rainier MD
Provider ID: 1184846 Gender: Male Charlie Y Sonido MD Inc 94-837
Waipahu St Waipahu, HI 96797 (808) 671-3911 Fax: (808) 677-2720 15
Yrs/130 Yrs Languages: Tagalog M-F 6:30 AM - 4:30 PM Sat 6:30 AM -
12:00 PM PCMH: No
Borman, Patricia MD ~
Provider ID: 1064909 Gender: Female Hawaii Pacific Neuroscience LL
642 Ulukahiki St Ste 300 Kailua, HI 96734 (808) 261-4476 Fax: (808)
263-4476 65 Yrs/130 Yrs Adventist Health Castle M-F 8:30 AM - 4:30
PM PCMH: No
Buenconsejo-Lum, Lee MD ~ ~ Provider ID: 1128778 Gender: Female
Ucera At Physicians Center At Mililani 95-390 Kuahelani Ave Ste 4C
Mililani, HI 96789 (808) 627-3200 Fax: (808) 623-7872 00 Yrs/130
Yrs Wahiawa General Hospital MF 8:30 AM - 5:00 PM TWTH 8:30 AM -
8:00 PM Sat 8:30 AM - 12:00 PM PCMH: No
Chen, Jimmy MD Provider ID: 1860050 Gender: Male Straub Clinic Ward
Village 1001 Queen St Ste 102 Honolulu, HI 96814 (808) 462-5200 00
Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Christensen, Ember DO & ~ Provider ID: 1525052 Gender: Female
Kahuku Medical Center Clinic 56-117 Pualalea St Kahuku, HI 96731
(808) 293-9221 Fax: (808) 293-5015 02 Yrs/130 Yrs Kahuku Medical
Center M-F 8:00 AM - 5:00 PM PCMH: No
Concepcion, Lehualani MD & ~ Provider ID: 458109 Gender: Female
Straub Kailua Clinic 602 Kailua Rd 2nd Fl Kailua, HI 96734 (808)
263-9100 Fax: (808) 263-9120 00 Yrs/130 Yrs Straub Clinic Hospital
M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 1
Updated: 07/03/2019
Family Practice - cont.
Domingo, Gloria MD & ~ Provider ID: 1800298 Gender: Female
Gloria Eden Domingo 94-239 Waipahu Depot St Ste 110 Waipahu, HI
96797 (808) 677-5664 Fax: (808) 677-1010 12 Yrs/130 Yrs MTTHF 8:00
AM - 5:00 PM WSat 8:00 AM - 12:00 PM PCMH: No
Glenn, Dale MD Provider ID: 486675 Gender: Male 888 S King St
Honolulu, HI 96813 (808) 522-4000 00 Yrs/130 Yrs Straub Clinic
Hospital PCMH: No
Glenn, Dale MD Provider ID: 486675 Gender: Male Straub Clinic &
Hospital 602 Kailua Rd 2nd Fl Kailua, HI 96734 (808) 263-9100 Fax:
(808) 263-9120 00 Yrs/130 Yrs Straub Clinic Hospital MWF 8:00 AM -
6:00 PM TTH 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
www.ohanahealthplan.com | 23
Greaney, Ann MD & ~ Provider ID: 1643391 Gender: Female Straub
Clinic and Hospital 1100 Ward Ave Ste 700 Honolulu, HI 96814 (808)
544-2600 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Greaney, Ann MD & ~ Provider ID: 1718371 Gender: Female Straub
Clinic and Hospital 1907 S Beretania St Fl 1 Honolulu, HI 96826
(808) 983-6433 Fax: (808) 983-6604 00 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: No
Hankins, Steven MD
` Provider ID: 1037278 Gender: Male Physician Center At Mililani
95-390 Kuahelani Ave Ste 4C Mililani, HI 96789 (808) 627-3200 Fax:
(808) 623-7872 00 Yrs/130 Yrs Wahiawa General Hospital MTTHF 8:00
AM - 5:00 PM W 8:00 AM - 8:00 PM PCMH: No
Hernaez, Judith MD & ~ Provider ID: 1705044 Gender: Female
Hawaii Senior Medical Group 94-141 Pupupuhi St Waipahu, HI 96797
(808) 676-2271 Fax: (808) 678-1894 00 Yrs/130 Yrs MTTHF 8:00 AM -
5:00 PM WSat 8:00 AM - 12:00 PM PCMH: No
Hirota, Sherrie MD Provider ID: 1516092 Gender: Female Straub
Clinic 1100 Ward Ave Ste 700 Honolulu, HI 96814 (808) 544-2600 Fax:
(808) 441-1704 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Hirota, Sherrie MD & ~ Provider ID: 1718375 Gender: Female
Straub Clinic and Hospital 1907 S Beretania St Honolulu, HI 96826
(808) 983-6433 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Hixon, Allen MD & ~ Provider ID: 530759 Gender: Male Ucera At
Physician Center At Mililani 95-390 Kuahelani Ave Ste 4C Mililani,
HI 96789 (808) 627-3200 Fax: (808) 623-7872 00 Yrs/130 Yrs Wahiawa
General Hospital M-F 9:00 AM - 5:00 PM PCMH: No
Updated: 07/03/2019
Family Practice - cont.
Hobbs, Noelani MD Provider ID: 1561922 Gender: Female Hobbs Medical
Inc 94-216 Pupukahi St Waipahu, HI 96797 (808) 671-2802 Fax: (808)
671-2803 00 Yrs/130 Yrs Languages: Tagalog, Ilocano MTTHF 8:30 AM -
5:00 PM WSat 8:30 AM - 12:00 PM PCMH: No
Holmes, Nataliya MD & ~ Provider ID: 1860060 Gender: Female
Straub Clinic Mililani 95-1249 Meheula Pkwy Unit 187 Mililani Town,
HI 96789 (808) 625-6444 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH:
No
Hwang, Irene MD
Provider ID: 1207070 Gender: Female Ucera 95-390 Kuahelani Ave
Mililani, HI 96789 (808) 627-3200 Fax: (808) 623-7872 00 Yrs/130
Yrs M-F 9:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 24
Iizuka, Katsuya MD Provider ID: 694366 Gender: Male Straub Clinic
and Hospital 602 Kailua Rd Ste 200 Kailua, HI 96734 (808) 263-9100
Fax: (808) 263-9120 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH:
No
Jun, Andrew MD Provider ID: 983573 Gender: Male Manoa Family
Medicine 1401 S Beretania St Ste 500 Honolulu, HI 96814 (808)
988-8700 Fax: (808) 888-3871 21 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM
Sat 8:30 AM - 12:00 PM PCMH: No
Kanayama Trivedi, Stacy MD
Provider ID: 1691600 Gender: Female Straub Clinic and Hospital 1907
S Beretania St 1st Fl Honolulu, HI 96826 (808) 983-6433 00 Yrs/130
Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Kapur, Amar DO Provider ID: 1691599 Gender: Male Straub Clinic
Mililani 95-1249 Meheula Pkwy Unit 187 Mililani, HI 96789 (808)
625-6444 Fax: (808) 623-2552 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Kapur, Amar DO Provider ID: 1846566 Gender: Male Straub Clinic and
Hospital 602 Kailua Rd Ste 200 Kailua, HI 96734 (808) 263-9100 00
Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Kim, Elizabeth MD ~ ~ Provider ID: 690107 Gender: Female Straub
Clinic and Hospital 1100 Ward Ave Ste 700 Honolulu, HI 96814 (808)
544-2600 Fax: (808) 441-1704 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Kim, Jonathan MD
Provider ID: 486432 Gender: Male Seoul Medical Group 590 Farrington
Hwy Ste 526A Kapolei, HI 96707 (808) 674-2930 Fax: (808) 674-2950
00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM Sat 9:00 AM - 12:00 PM PCMH:
No
Kuriyama, Dawn MD
Provider ID: 1058075 Gender: Not Available 1100 Ward Ave Ste 700
Honolulu, HI 96814 (808) 544-2600 Fax: (808) 441-1704 00 Yrs/130
Yrs M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3
Updated: 07/03/2019
Family Practice - cont.
Lee, Bradley MD & ~ Provider ID: 445528 Gender: Male Kapolei
Family Medical Center Inc 590 Farrington Hwy Ste 526A Kapolei, HI
96707 (808) 674-2930 Fax: (808) 674-2950 00 Yrs/130 Yrs M-F 8:00 AM
- 4:30 PM PCMH: No
Lee, Damon MD & ~ Provider ID: 1245620 Gender: Male Physician
Center At Mililani 95-390 Kuahelani Ave Ste 4C Mililani, HI 96789
(808) 627-3200 Fax: (808) 623-7872 00 Yrs/130 Yrs MTTHF 8:00 AM -
5:00 PM W 8:00 AM - 8:00 PM PCMH: No
Lerner, Stuart MD Provider ID: 787638 Gender: Male Stuart Lerner MD
LLC 30 Aulike St Ste 302 Kailua, HI 96734 (808) 954-4463 Fax: (808)
364-2014 12 Yrs/130 Yrs Adventist Health Castle M-F 8:00 AM - 5:00
PM PCMH: No
www.ohanahealthplan.com | 25
Lin, Jeffrey MD & ~ Provider ID: 1047244 Gender: Male Jeffrey M
Lin, MD LLC 321 N Kuakini St Ste 607 Honolulu, HI 96817 (808)
824-0411 Fax: (808) 523-5632 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Marzo, Christina MD ~
Provider ID: 1718336 Gender: Female Kuakini Support Servies Inc 405
N Kuakini St Ste 1009 Honolulu, HI 96817 (808) 547-9373 00 Yrs/130
Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Nakata, Jena DO & ~ Provider ID: 1691608 Gender: Female Straub
Clinic and Hospital Kailua C 602 Kailua Rd Ste 200 Kailua, HI 96734
(808) 263-9100 Fax: (808) 263-9120 00 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: No
Nitta, Randall MD ~
Provider ID: 459082 Gender: Male Randall J Nitta, MD, LLC 98-1247
Kaahumanu St Ste 306 Aiea, HI 96701 (808) 260-4404 Fax: (808)
484-2864 00 Yrs/130 Yrs MTF 9:00 AM - 4:00 PM W 9:00 AM - 12:00 PM
TH 12:00 AM - 4:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
Ortiz-Omphroy, Gabriela MD & ~ Provider ID: 787546 Gender:
Female Gabriela M Ortiz Omphroy MD LLC 98-1247 Kaahumanu St Ste
118A Aiea, HI 96701 (808) 488-4342 Fax: (808) 488-4151 00 Yrs/130
Yrs Pali Momi Medical Center Languages: Spanish M 8:30 AM - 4:00 PM
TWTHFSat 8:00 AM - 12:00 PM PCMH: No
Ota, Emi MD Provider ID: 1277603 Gender: Female Emi Ota, MD Inc 850
W Hind Dr Ste 205 Honolulu, HI 96821 (808) 377-3191 Fax: (808)
377-3192 00 Yrs/130 Yrs M-F 8:00 AM - 3:00 PM Sat 8:00 AM - 12:00
PM PCMH: No
Updated: 07/03/2019
Family Practice - cont.
Otaka, Dean MD &~ Provider ID: 473039 Gender: Male Dean K Otaka
MD Inc 98-1247 Kaahumanu St Ste 115 Aiea, HI 96701 (808) 486-5556
Fax: (808) 486-5586 00 Yrs/130 Yrs Pali Momi Medical Center MTWF
8:00 AM - 4:30 PM TH 8:00 AM - 12:00 PM PCMH: No
Palafox, Neal MD & ~ Provider ID: 1128837 Gender: Male
Physician Center At Mililani 95-390 Kuahelani Ave Ste 4C Mililani,
HI 96789 (808) 627-3200 Fax: (808) 623-7872 00 Yrs/130 Yrs Wahiawa
General Hospital M-F 8:00 AM - 5:00 PM PCMH: No
Pham, Bao MD Provider ID: 1755241 Gender: Female Straub Clinic and
Hospital 1100 Ward Ave Ste 700 Honolulu, HI 96814 (808) 544-2600
Fax: (808) 441-1704 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
www.ohanahealthplan.com | 26
Pham, Bao MD &~ Provider ID: 1755301 Gender: Female Straub
Mililani Clinic 95-1249 Meheula Pkwy Unit 187 Mililani, HI 96789
(808) 625-6444 Fax: (808) 623-2552 00 Yrs/130 Yrs M-F 8:00 AM -
5:00 PM PCMH: No
Picken, David MD &~ Provider ID: 1796628 Gender: Male Straub
Clinic and Hospital 500 Ala Moana Blvd Ste 230 Honolulu, HI 96813
(808) 536-9367 Fax: (808) 536-9369 00 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: No
Ramo, Vicente MD &~ Provider ID: 446191 Gender: Male 634 Kalihi
St Ste 201 Honolulu, HI 96819 (808) 841-7288 Fax: (808) 841-8841 00
Yrs/130 Yrs Languages: Tagalog MTTHF 8:30 AM - 5:00 PM WSat 8:30 AM
- 12:00 PM PCMH: No
Rolita, Lydia MD &~ Provider ID: 1578904 Gender: Female Ucera
95-390 Kuahelani Ave Mililani, HI 96789 (808) 627-3235 Fax: (808)
623-7872 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00
PM PCMH: No
Samsami, David MD &~ Provider ID: 1144843 Gender: Male 46-001
Kamehameha Hwy Ste 319 Kaneohe, HI 96744 (808) 247-7770 Fax: (808)
247-7799 00 Yrs/130 Yrs The Queens Medical Center Languages:
Persian - Farsi M-F 8:00 AM - 5:30 PM Sat 8:00 AM - 12:30 PM PCMH:
No
Samsami, David MD Provider ID: 1182347 Gender: Male David Samsami
MD Inc 850 W Hind Dr Ste 210 Honolulu, HI 96821 (808) 777-4444 Fax:
(808) 247-7799 00 Yrs/130 Yrs Languages: Persian - Farsi M-F 9:00
AM - 5:00 PM PCMH: No
Updated: 07/03/2019
Family Practice - cont.
Samsami, David MD Provider ID: 1455875 Gender: Male David Samsami
MD Inc 45-1151 Kamehameha Hwy Ste C Kaneohe, HI 96744 (808)
247-7770 Fax: (808) 247-7799 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Samsami, David MD & ~ Provider ID: 550034 Gender: Male David
Samsami MD Inc 46-001 Kamehameha Hwy Ste 202 Kaneohe, HI 96744
(808) 247-7770 Fax: (808) 247-7799 00 Yrs/130 Yrs Adventist Health
Castle The Queens Medical Center Languages: Persian - Farsi M-F
8:00 AM - 5:30 PM Sat 8:00 AM - 12:30 PM PCMH: No
Schiff, Teresa MD Provider ID: 1525732 Gender: Female Ucera At Pali
Momi 98-1079 Moanalua Rd Aiea, HI 96701 (808) 486-6800 00 Yrs/130
Yrs M-F 9:00 AM - 5:00 PM PCMH: No
www.ohanahealthplan.com | 27
Sells, Janee MD Provider ID: 1860052 Gender: Female Straub Clinic
Ka Makana Alii 91-5431 Kapolei Pkwy Ste 1706 Kapolei, HI 96707
(808) 426-9300 Fax: (808) 426-9399 00 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: No
Smiley, Nancy MD Provider ID: 1226019 Gender: Female Straub Clinic
and Hospital 500 Ala Moana Blvd Bldg 7 Ste 230 Honolulu, HI 96813
(808) 536-9367 Fax: (808) 536-9369 00 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: Yes, Level 1
Soin, Komal MD & ~ Provider ID: 1351567 Gender: Female Ucera
95-390 Kuahelani Ave Mililani, HI 96789 (808) 627-3200 Fax: (808)
623-7872 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 8:00 AM - 8:00 PM
Sat 8:00 AM - 12:00 PM PCMH: No
Soin, Komal MD ~ ~ Provider ID: 1351572 Gender: Female Ucera At
Pali Momi 98-1079 Moanalua Rd Aiea, HI 96701 (808) 486-6000 Fax:
(808) 485-4372 00 Yrs/130 Yrs MTTHF 8:00 AM - 5:00 PM W 8:00 AM -
8:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
Taba, Marti MD Provider ID: 486836 Gender: Female Straub Clinic
& Hospital 602 Kailua Rd 2nd Fl Kailua, HI 96734 (808) 263-9100
00 Yrs/130 Yrs Straub Clinic Hospital MWF 8:00 AM - 6:00 PM TTH
8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
Tseng, Chien-Wen MD ~
Provider ID: 1128882 Gender: Female Physician Center At Mililani
95-390 Kuahelani Ave Ste 4C Mililani, HI 96789 (808) 627-3200 Fax:
(808) 623-7872 00 Yrs/130 Yrs Wahiawa General Hospital MTTHF 8:00
AM - 5:00 PM W 8:00 AM - 8:00 PM Sat 8:00 AM - 12:00 PM PCMH:
No
Updated: 07/03/2019
Family Practice - cont.
Villa, Maria MD Provider ID: 1271373 Gender: Female Maria Theresa F
Villa, MD 634 Kalihi St Fl 1 Honolulu, HI 96819 (808) 845-3911 Fax:
(808) 848-0870 18 Yrs/130 Yrs Languages: Tagalog MTTHF 9:00 AM -
5:00 PM W 9:00 AM - 12:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
Von Detten, Tanya MD &
Provider ID: 1691596 Gender: Female Straub Clinic Hawaii Kai Clinic
7192 Kalanianaole Hwy Ste A200 Honolulu, HI 96825 (808) 396-6321
Fax: (808) 395-7160 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH:
No
& Worthen, David MD Provider ID: 1643379 Gender: Male Straub
Clinic and Hospital Phy 7192 Kalanianaole Hwy Ste A200 Honolulu, HI
96825 (808) 396-6321 Fax: (808) 395-7160 00 Yrs/130 Yrs M-F 9:00 AM
- 5:00 PM PCMH: No
www.ohanahealthplan.com | 28
Yamada, Seiji MD Provider ID: 510814 Gender: Male Physician Center
At Mililani 95-390 Kuahelani Ave Ste 4C Mililani, HI 96789 (808)
627-3200 Fax: (808) 623-7872 00 Yrs/130 Yrs Wahiawa General
Hospital Languages: Spanish, Japanese MTTHF 8:00 AM - 5:00 PM W
8:00 AM - 8:00 PM PCMH: No
Yarawamai, Mikela MD Provider ID: 1127628 Gender: Female Straub
Pearlridge Clinic 98-151 Pali Momi St Ste 142 Aiea, HI 96701 (808)
483-6400 Fax: (808) 486-6434 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Yee, Eric MD Provider ID: 486860 Gender: Male Straub Clinic &
Hospital 7192 Kalanianaole Hwy Ste A200 Honolulu, HI 96825 (808)
396-6321 Fax: (808) 395-7160 00 Yrs/130 Yrs Straub Clinic Hospital
M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
Yonahara, Maria MD Provider ID: 1027604 Gender: Female Straub
Clinic and Hospital 602 Kailua Rd 2nd Fl Kailua, HI 96734 (808)
263-9100 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Yonahara, Maria MD Provider ID: 458277 Gender: Female Straub First
Insurance Center 1100 Ward Ave Ste 700 Honolulu, HI 96814 (808)
544-2600 Fax: (808) 441-1704 00 Yrs/130 Yrs Straub Clinic Hospital
PCMH: No
Fqhc
Ewa West O'Ahu Community Health Center
I & ~ Provider ID: 1605982 Waianae Ewa West O'Ahu Community He
91-1841 Fort Weaver Rd Ewa Beach, HI 96706 (808) 697-3281 Fax:
(808) 697-3282 00 Yrs/130 Yrs M-TH 8:00 AM - 4:30 PM PCMH: No
Ka& lihi Palama Health Center
Provider ID: 530887 546 Kaaahi St Honolulu, HI 96817 (808) 791-6342
Fax: (808) 853-2133 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM PCMH:
No
Updated: 07/03/2019
Kalihipalama Health Center
Provider ID: 1534007 Kalihi Palama Health Center 710 N King St
Honolulu, HI 96817 (808) 843-7500 Fax: (808) 843-7563 00 Yrs/130
Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
Kalihi-Palama Health Center- 89 S King S Provider ID: 488066 Kalihi
Palama Health Center 89 S King St Honolulu, HI 96813 (808) 792-5560
Fax: (808) 792-5577 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
Kapolei Health Care Center
Provider ID: 1509888 599 Farrington Hwy Unit 100 Kapolei, HI 96707
(808) 697-3800 Fax: (808) 697-3818 00 Yrs/130 Yrs M 7:15 AM - 5:00
PM PCMH: No
Kokua Kalihi Valley Provider ID: 506907 1846 Gulick Ave Honolulu,
HI 96819 (808) 791-9400 Fax: (808) 791-9456 00 Yrs/130 Yrs
MTWTHFSat 7:30 AM - 6:00 PM PCMH: No
www.ohanahealthplan.com | 29
Kokua Kalihi Valley Comprehensive Family Provider ID: 493961 Kokua
Kalihi Valley 2239 N School St Honolulu, HI 96819 (808) 791-9400
Fax: (808) 848-0979 00 Yrs/130 Yrs Languages: Chinese, Cantonese,
Mandarin, Tagalog M-F 8:00 AM - 6:00 PM PCMH: No
Koolauloa Community Health and Wellness Provider ID: 1255772
Koolauloa Community Health Clinic 54-316 Kamehameha Hwy Units 6 and
7 Hauula, HI 96717 (808) 293-9216 Fax: (808) 293-1171 00 Yrs/130
Yrs M-F 8:00 AM - 5:00 PM PCMH: No
Koolauloa Community Health and Wellness Provider ID: 518444
Koolauloa Community Health Clinic 56-119 Pualalea St Kahuku, HI
96731 (808) 293-9231 Fax: (808) 293-1511 00 Yrs/130 Yrs M-F 8:00 AM
- 5:00 PM PCMH: No
Leeward Pediatrics Provider ID: 569194 87-2070 Farrington Hwy Ste N
Waianae, HI 96792 (808) 697-3900 Fax: (808) 697-3930 00 Yrs/130 Yrs
M-F 7:15 AM - 5:00 PM PCMH: No
The Wahiawa Center For Community Health Provider ID: 1702634 The
Wahiawa Center For Community He 302 California Ave Ste 106 Wahiawa,
HI 96786 (808) 622-1618 Fax: (808) 622-3083 00 Yrs/130 Yrs PCMH:
No
Waianae Coast Comprehensive Health Center Provider ID: 504177
Waianae Coast Comprehensive Health 86-260 Farrington Hwy Waianae,
HI 96792 (808) 697-3300 Fax: (808) 697-3687 00 Yrs/130 Yrs M-TH
7:30 AM - 8:00 PM F 7:30 AM - 6:00 PM Sat 8:00 AM - 3:30 PM PCMH:
No
Updated: 07/03/2019
Fqhc - cont.
Waianae District Comprehensive & ~ Provider ID: 1018448 Waipahu
Family Health Center 94-428 Mokuola St 108B Waipahu, HI 96797 (808)
697-3888 Fax: (808) 697-3889 00 Yrs/130 Yrs M-F 7:15 AM - 5:00 PM
PCMH: No
Waianae Intermediate School Based Health & ~ Provider ID:
1836668 Waianae Intermediate School-School 85-626 Farrington Hwy
Waianae, HI 96792 (808) 697-3523 Fax: (808) 697-3545 00 Yrs/130 Yrs
MTTH 7:45 AM - 3:30 PM WF 7:45 AM - 1:30 PM PCMH: No
&
www.ohanahealthplan.com | 30
Waimanalo Health Center Provider ID: 511385 41-1347 Kalanianaole
Hwy Waimanalo, HI 96795 (808) 259-7948 Fax: (808) 259-6449 00
Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: Yes,
Level 3
General Practice
Christenson, Elizabeth MD & ~ Provider ID: 704541 Gender:
Female Chi Comprehensive Health Innovati 934 Maunawili Cir Kailua,
HI 96734 (808) 261-7801 Fax: (808) 261-7725 18 Yrs/130 Yrs
Languages: Chinese MWTHF 10:00 AM - 5:00 PM T 11:00 AM - 5:00 PM
Sat 10:00 AM - 4:00 PM PCMH: No
Galindo, Benedicto MD Provider ID: 445542 Gender: Male 94-366
Pupupani St Ste 118 Waipahu, HI 96797 (808) 676-0865 Fax: (808)
676-1970 02 Yrs/130 Yrs Languages: Tagalog, Ilocano MTTHF 8:00 AM -
5:00 PM WSat 8:00 AM - 12:00 PM PCMH: No
Kang, Raymond MD Provider ID: 459497 Gender: Male Omnicare Medical
Clinic 1095 S Beretania St Unit A Honolulu, HI 96814 (808) 955-7117
Fax: (808) 955-7138 21 Yrs/130 Yrs Languages: Korean M 9:00 AM -
4:30 PM TW 9:00 AM - 12:00 PM PCMH: No
Miscovich, Scott MD Provider ID: 475265 Gender: Male 46-001
Kamehameha Hwy Ste 109 Kaneohe, HI 96744 (808) 247-7596 Fax: (808)
824-3416 02 Yrs/130 Yrs Adventist Health Castle M-F 9:00 AM - 5:00
PM PCMH: No
Miyashiro, James MD ~ ~ Provider ID: 707586 Gender: Male Venture
Medical 21 Inc 91-896 Makule Rd Ste 102 Ewa Beach, HI 96706 (808)
689-4414 Fax: (808) 689-7115 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM
Sat 8:30 AM - 1:30 PM PCMH: No
Updated: 07/03/2019
General Practice - cont.
Serrano, Scott MD &~ Provider ID: 1533028 Gender: Male Uhp Dept
of Med Fac Prac, Pob III 550 S Beretania St Ste 300 Honolulu, HI
96813 (808) 536-3773 Fax: (808) 536-3774 18 Yrs/130 Yrs M-F 8:00 AM
- 4:30 PM PCMH: No
Suh, Philip MD Provider ID: 445491 Gender: Male Suh & Suh MD
Inc 725 Kapiolani Blvd Ste C114 Honolulu, HI 96813 (808) 946-1414
Fax: (808) 946-1515 21 Yrs/130 Yrs Languages: Korean MTTHF 9:00 AM
- 4:00 PM WSat 9:00 AM - 12:00 PM PCMH: No
Suh, SE Mo MD Provider ID: 465501 Gender: Male Suh & Suh MD Inc
725 Kapiolani Blvd Ste C114 Honolulu, HI 96813 (808) 946-1414 Fax:
(808) 946-1515 21 Yrs/130 Yrs Languages: Korean, Japanese MTTHF
9:00 AM - 4:00 PM WSat 9:00 AM - 12:00 PM PCMH: No
www.ohanahealthplan.com | 31
Tun, Than MD Provider ID: 1710469 Gender: Male Venture Medical 21
Inc 98-1247 Kaahumanu St Ste 111 Aiea, HI 96701 (808) 689-4414 Fax:
(808) 689-7115 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Tun, Than MD &~ Provider ID: 1710474 Gender: Male Venture
Medical 21 Inc 91-896 Makule Rd Ste 102 Ewa Beach, HI 96706 (808)
689-4414 Fax: (808) 689-7115 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Vinzons, Gavino MD &~ Provider ID: 496789 Gender: Male Gavino
T. Vinzons MD Inc 2119 N King St Ste 101 B Honolulu, HI 96819 (808)
842-7126 Fax: (808) 824-3215 02 Yrs/130 Yrs Languages: Filipino
MTTHFSat 9:00 AM - 5:00 PM W 9:00 AM - 12:00 PM PCMH: No
Wichmann-Walczak, John MD
Provider ID: 1610189 Gender: Male Charlie Y Sonido MD Inc 1807 N
King St Ste 101 Honolulu, HI 96819 (808) 841-4195 Fax: (808)
841-0627 21 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Wichmann-Walczak, John MD
Provider ID: 449950 Gender: Male Charlie Y Sonido MD Inc 94-837
Waipahu St Waipahu, HI 96797 (808) 671-3911 Fax: (808) 677-2720 21
Yrs/130 Yrs MTTHF 7:30 AM - 5:00 PM WSat 7:30 AM - 2:00 PM PCMH:
No
Yang, Sung MD Provider ID: 700647 Gender: Male Sung S Yang MD 2155
Kalakaua Ave Ste 308 Honolulu, HI 96815 (808) 342-6305 Fax: (808)
568-0167 18 Yrs/130 Yrs Languages: Korean M-F 8:30 AM - 7:00 PM Sat
8:30 AM - 5:00 PM PCMH: No
Updated: 07/03/2019
General Practice - cont.
Zunin, Ira MD & ~ Provider ID: 459630 Gender: Male Manakai O
Malama 932 Ward Ave Ste 600 Honolulu, HI 96814 (808) 535-5555 Fax:
(808) 535-5556 18 Yrs/130 Yrs Straub Clinic Hospital Languages:
Spanish, Japanese M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM PCMH:
No
Internal Medicine
Akaka, Gerard MD & ~ Provider ID: 490802 Gender: Male 1301
Punchbowl St Harkness 125 Honolulu, HI 96813 (808) 691-4498 Fax:
(808) 691-5032 18 Yrs/130 Yrs The Queens Medical Center M-F 8:00 AM
- 4:30 PM PCMH: No
Arnold, Stephen MD Provider ID: 458082 Gender: Male Straub Clinic
& Hospital 888 S King St Honolulu, HI 96813 (808) 522-4511 12
Yrs/130 Yrs Straub Clinic Hospital M-F 8:00 AM - 4:30 PM Sat 8:00
AM - 12:00 PM PCMH: Yes, Level 1
www.ohanahealthplan.com | 32
Badua, Marina MD & ~ Provider ID: 454506 Gender: Female 1712
Liliha St Ste 202 Honolulu, HI 96817 (808) 536-1754 Fax: (808)
536-0315 18 Yrs/130 Yrs Languages: Tagalog, Ilocano M-F 8:30 AM -
12:30 PM PCMH: No
Baloy, Gabino MD Provider ID: 461193 Gender: Male Gabino L Baloy MD
LLC 94-216 Farrington Hwy Ste 314 Waipahu, HI 96797 (808) 853-8870
Fax: (808) 676-8870 12 Yrs/130 Yrs Languages: Filipino MT 8:00 AM -
4:30 PM W 8:00 AM - 12:00 PM PCMH: No
& Bautista, Rainier MD Provider ID: 1610190 Gender: Male
Charlie Y Sonido MD Inc 1807 N King St Ste 101 Honolulu, HI 96819
(808) 841-4195 Fax: (808) 841-0627 15 Yrs/130 Yrs M-F 9:00 AM -
5:00 PM PCMH: No
Bello, Erlaine MD ~ ~ Provider ID: 1403998 Gender: Female Ucera 550
S Beretania St Ste 510 Honolulu, HI 96813 (808) 536-3773 Fax: (808)
536-3774 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Brauer, Steven MD & ~ Provider ID: 1133036 Gender: Male Ucera
550 S Beretania St Ste 510 Honolulu, HI 96813 (808) 536-3455 Fax:
(808) 536-3774 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Carpenter, Dee-Ann MD Provider ID: 508828 Gender: Female Ucera At
Queens Pob III 550 S Beretania St Ste 510 Honolulu, HI 96813 (808)
536-3455 Fax: (808) 536-3774 18 Yrs/130 Yrs Kuakini Medical Center
Wahiawa General Hospital M-F 9:00 AM - 5:00 PM PCMH: No
Updated: 07/03/2019
Chekuri, Asha MD ~
Provider ID: 483703 Gender: Female Straub Clinic & Hospital 888
S King St Honolulu, HI 96813 (808) 522-4331 12 Yrs/130 Yrs Straub
Clinic Hospital M-F 8:00 AM - 4:30 PM Sat 8:00 AM - 12:00 PM PCMH:
Yes, Level 1
Chen, Janny MD ~ti) ~ Provider ID: 587071 Gender: Female Straub
Clinic and Hospital 500 Ala Moana Blvd Ste 230 Bldg 7 Honolulu, HI
96813 (808) 536-9367 Fax: (808) 536-9369 00 Yrs/130 Yrs Straub
Clinic Hospital M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 1
Cheong, Hausen MD ~
Provider ID: 469847 Gender: Male Hausen Cheong, MD 803 Kamehameha
Hwy Ste 412 Pearl City, HI 96782 (808) 455-9095 Fax: (808) 455-6113
18 Yrs/130 Yrs Kuakini Medical Center The Queens Medical Center M-W
2:00 AM - 5:00 PM TH 9:00 AM - 1:00 PM PCMH: No
www.ohanahealthplan.com | 33
Cheong, Hausen MD ~
Provider ID: 470540 Gender: Male Hausen Cheong, MD 1481 S King St
Ste 410 Honolulu, HI 96814 (808) 946-0225 Fax: (808) 951-7222 18
Yrs/130 Yrs The Queens Medical Center MT 2:00 AM - 5:00 PM W 9:00
AM - 1:00 PM PCMH: No
China, Todd MD Provider ID: 486630 Gender: Male Straub Clinic &
Hospital 888 S King St Honolulu, HI 96813 (808) 522-4514 12 Yrs/130
Yrs Straub Clinic Hospital M-F 8:00 AM - 4:30 PM Sat 8:00 AM -
12:00 PM PCMH: Yes, Level 1
Ching-Endow, Chelsea MD Provider ID: 605853 Gender: Female 1029
Kapahulu Ave Ste 300 Honolulu, HI 96816 (808) 733-5111 Fax: (808)
733-5122 12 Yrs/130 Yrs MWF 8:00 AM - 5:00 PM TTHSat 8:00 AM -
12:00 PM PCMH: No
Chow, Dominic MD & ~ Provider ID: 582900 Gender: Male Queen
Emma Clinic 1301 Punchbowl St Honolulu, HI 96813 (808) 691-4970
Fax: (808) 691-5032 00 Yrs/130 Yrs Kapiolani Med Center For Women
and Children The Queens Medical Center M-F 9:00 AM - 5:00 PM PCMH:
No
Dang, Andrew MD Provider ID: 458112 Gender: Male Straub Clinic
& Hospital 95-1249 Meheula Pkwy Unit 187 Mililani, HI 96789
(808) 625-6444 Fax: (808) 623-2552 12 Yrs/130 Yrs Straub Clinic
Hospital MTWTHFSat 8:00 AM - 8:00 PM PCMH: Yes, Level 1
Dang, Steven MD Provider ID: 459459 Gender: Male 2525 S King St Ste
306 Honolulu, HI 96826 (808) 949-4747 Fax: (808) 946-1322 12
Yrs/130 Yrs Kuakini Medical Center MTTHF 8:00 AM - 4:30 PM WSat
8:00 AM - 12:00 PM PCMH: No
Updated: 07/03/2019
Internal Medicine - cont.
De Leon, Jose MD Provider ID: 457892 Gender: Male De Leon Medical
Clinic Inc 1520 Liliha St Ste 203 Honolulu, HI 96817 (808) 528-3571
Fax: (808) 528-0196 12 Yrs/130 Yrs Pali Momi Medical Center M-F
8:00 AM - 5:00 PM Sat 8:00 AM - 1:00 PM PCMH: No
& Del Rosario, Nestor MD
Provider ID: 1570748 Gender: Male Nestor Del Rosario MD 94-939
Kahuailani St Waipahu, HI 96797 (808) 671-5681 Fax: (808) 671-5276
00 Yrs/130 Yrs MTTH 9:00 AM - 5:00 PM W 9:00 AM - 1:00 PM F 9:00 AM
- 4:00 PM PCMH: No
Diep, Emily MD & ~ Provider ID: 561410 Gender: Female 321 N
Kuakini St Ste 715 Honolulu, HI 96817 (808) 523-6461 Fax: (808)
550-0466 12 Yrs/130 Yrs Kuakini Medical Center The Queens Medical
Center Languages: Cantonese M-F 8:00 AM - 4:30 PM Sat 8:00 AM -
12:00 PM PCMH: No
www.ohanahealthplan.com | 34
Dimitrion, Michael MD Provider ID: 494386 Gender: Male 98-1079
Moanalua Rd Ste 410 Aiea, HI 96701 (808) 488-7770 Fax: (808)
487-0104 16 Yrs/130 Yrs Pali Momi Medical Center Languages:
Filipino M-F 9:00 AM - 5:00 PM PCMH: No
Elizaga, Fortunato MD
Provider ID: 535111 Gender: Male 1712 Liliha St Ste 306 Honolulu,
HI 96817 (808) 524-1144 Fax: (808) 531-0718 12 Yrs/130 Yrs MTTHF
8:00 AM - 5:00 PM WSat 8:00 AM - 12:00 PM PCMH: No
Fu, Rebekah MD Provider ID: 486665 Gender: Female Straub Clinic
& Hospital 888 S King St Honolulu, HI 96813 (808) 522-4311 12
Yrs/130 Yrs Straub Clinic Hospital M-F 8:00 AM - 4:30 PM Sat 8:00
AM - 12:00 PM PCMH: No
Garcia, Leon MD Provider ID: 459471 Gender: Male 94-307 Farrington
Hwy Ste B6 Waipahu, HI 96797 (808) 671-9433 Fax: (808) 677-5455 14
Yrs/130 Yrs Pali Momi Medical Center MTWF 9:00 AM - 4:30 PM THSat
9:00 AM - 12:00 PM PCMH: No
Go, Jon MD & ~ Provider ID: 1097250 Gender: Male Charlie Y
Sonido MD Inc 94-837 Waipahu St Waipahu, HI 96797 (808) 671-3911
Fax: (808) 677-2720 21 Yrs/130 Yrs Languages: Tagalog, Ilocano M-F
6:30 AM - 7:00 PM Sat 6:30 AM - 12:00 PM PCMH: No
& Go, Jon MD Provider ID: 1610191 Gender: Male Charlie Sonido
1807 N King St Ste 101 Honolulu, HI 96819 (808) 841-4195 Fax: (808)
841-0627 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Updated: 07/03/2019
Internal Medicine - cont.
Goh, Jodi MD & ~ Provider ID: 1475189 Gender: Female Queens
Medical Center 550 S Beretania St Ste 601 Honolulu, HI 96813 (808)
691-8877 Fax: (808) 691-8875 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM
PCMH: No
Guil& lermo, Sorbella MD
Provider ID: 459484 Gender: Female 94-300 Farrington Hwy Ste F-8
Waipahu, HI 96797 (808) 677-1433 Fax: (808) 677-1676 00 Yrs/130 Yrs
Languages: Tagalog, Ilocano MTTH 9:00 AM - 9:00 PM W 9:00 AM - 2:00
PM F 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM PCMH: No
Hernandez, Anthony MD Provider ID: 451297 Gender: Male 2055 N King
St Rm 200 Honolulu, HI 96819 (808) 848-1515 Fax: (808) 847-2043 12
Yrs/130 Yrs Languages: Tagalog, Ilocano MTTHF 8:00 AM - 4:00 PM
WSat 8:00 AM - 11:00 PM PCMH: No
www.ohanahealthplan.com | 35
Hobbs-Oshiro, Corazon MD
Provider ID: 476983 Gender: Female Hobbs Medical Inc 94-216
Pupukahi St Waipahu, HI 96797 (808) 671-2802 Fax: (808) 671-2803 12
Yrs/130 Yrs Languages: Tagalog, Ilocano MTTHF 8:30 AM - 5:30 PM
WSat 8:30 AM - 12:30 PM PCMH: No
Hoo, Aaron MD & ~ Provider ID: 1436009 Gender: Male Uhp Dept of
Med Faculty Practice 550 S Beretania St Ste 510 Honolulu, HI 96813
(808) 536-3455 Fax: (808) 536-3774 18 Yrs/130 Yrs M-F 8:00 AM -
4:30 PM PCMH: No
Hoo, Aaron MD & ~ Provider ID: 1561930 Gender: Male Uhp Dept of
Med Fac Prac, Pob III 550 S Beretania St Ste 300 Honolulu, HI 96813
(808) 536-3773 Fax: (808) 784-2223 18 Yrs/130 Yrs M-F 8:00 AM -
4:30 PM PCMH: No
Hughes, Jason DO Provider ID: 1188718 Gender: Male Kahuku Medical
Center Clinic 56-117 Pualalea St Kahuku, HI 96731 (808) 293-9221
Fax: (808) 293-5015 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH:
No
Igno, Fritzie MD Provider ID: 484690 Gender: Female Queen Emma
Clinic 1301 Punchbowl St Honolulu, HI 96813 (808) 691-4970 Fax:
(808) 691-5032 12 Yrs/130 Yrs The Queens Medical Center M-F 8:00 AM
- 4:30 PM PCMH: No
Ishioka, Michael MD q &
,
Internal Medicine - cont.
Iwanuma, Tad MD & ~ Provider ID: 458843 Gender: Male 321 N
Kuakini St Ste 703 Honolulu, HI 96817 (808) 524-4400 Fax: (808)
524-2228 12 Yrs/130 Yrs Kuakini Medical Center MWF 8:00 AM - 4:30
PM TTH 8:00 AM - 12:30 PM Sat 7:00 AM - 11:30 PM PCMH: No
Jose, Christine MD Provider ID: 918719 Gender: Female Straub Womens
Clinic 500 Ala Moana Blvd Bldg 7 Ste 230 Honolulu, HI 96813 (808)
536-9367 Fax: (808) 536-9369 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
Jose, Erma MD Provider ID: 486703 Gender: Female Straub Clinic
& Hospital 46-056 Kamehameha Hwy Ste G-1 Kaneohe, HI 96744
(808) 233-6200 12 Yrs/130 Yrs Straub Clinic Hospital MTWTHFSat 8:00
AM - 7:30 PM PCMH: No
www.ohanahealthplan.com | 36
Kagawa, Robert MD Provider ID: 485871 Gender: Male Ekahi - Central
Medical Clinic 321 N Kuakini St Ste 201 Honolulu, HI 96817 (808)
523-8611 Fax: (808) 537-1594 12 Yrs/130 Yrs Kapiolani Med Center
For Women and Children M-F 9:00 AM - 5:00 PM PCMH: No
Kaichi, Aaron MD
Provider ID: 459495 Gender: Male 94-873 Farrington Hwy Ste 103
Waipahu, HI 96797 (808) 677-0774 Fax: (808) 677-7872 12 Yrs/130 Yrs
Pali Momi Medical Center M-F 9:00 AM - 5:00 PM PCMH: No
Kaneshirg o, Owen MD
Provider ID: 485895 Gender: Male Ekahi - Central Medical Clinic 321
N Kuakini St Ste 201 Honolulu, HI 96817 (808) 523-8611 Fax: (808)
537-1594 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Kelly, Russell MD Provider ID: 450356 Gender: Male 91-2139 Fort
Weaver Rd Ste 300 Ewa Beach, HI 96706 (808) 678-0700 Fax: (808)
678-0776 16 Yrs/130 Yrs Languages: German, Tagalog, Ilocano MTTHF
9:00 AM - 4:30 PM W 9:00 AM - 12:00 PM Sat 8:30 AM - 12:00 PM PCMH:
No
Kia, Laverne MD Provider ID: 475260 Gender: Female Laverne A Kia MD
91-2139 Ft Weaver Rd Ste 208 Ewa Beach, HI 96706 (808) 671-4530
Fax: (808) 676-1066 18 Yrs/130 Yrs Kapiolani Med Center For Women
and Children The Queens Medical Center MTTHF 9:00 AM - 5:00 PM W
9:00 AM - 12:00 PM Sat 8:00 AM - 11:00 PM PCMH: No
Kim, Simon MD Provider ID: 1369047 Gender: Male Sbk Medical
Consulting