Provider Demographics
NPI:1518632728
Name:OHANA FOOT AND ANKLE CENTER LLC
Entity Type:Organization
Organization Name:OHANA FOOT AND ANKLE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-706-1198
Mailing Address - Street 1:55-116 NAUPAKA ST APT A
Mailing Address - Street 2:
Mailing Address - City:LAIE
Mailing Address - State:HI
Mailing Address - Zip Code:96762-1145
Mailing Address - Country:US
Mailing Address - Phone:614-706-1198
Mailing Address - Fax:
Practice Address - Street 1:55-116 NAUPAKA ST APT A
Practice Address - Street 2:
Practice Address - City:LAIE
Practice Address - State:HI
Practice Address - Zip Code:96762-1145
Practice Address - Country:US
Practice Address - Phone:614-706-1198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty