Provider Demographics
NPI:1467459701
Name:ALOHA NURSE ANESTHESIA SERVICES
Entity Type:Organization
Organization Name:ALOHA NURSE ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:808-332-0127
Mailing Address - Street 1:PO BOX 1840
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-1840
Mailing Address - Country:US
Mailing Address - Phone:808-325-6760
Mailing Address - Fax:808-443-0159
Practice Address - Street 1:3420 KUHIO HIGHWAY
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766
Practice Address - Country:US
Practice Address - Phone:808-245-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN192367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI100178Medicare ID - Type Unspecified