Provider Type Icon

TIM TAIKYO KANEDA PA-C M.H.S. NPI 1972854099


NPI Information

NPI: 1972854099
Provider Name: TIM TAIKYO KANEDA, PA-C, M.H.S.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2180 MAIN ST
WAILUKU, HI
ZIP 96793
Phone: (808) 242-4267
Get Directions

Tim Taikyo Kaneda, PA-C, M.H.S. is a medical physician assistant in Wailuku, HI. Tim Taikyo Kaneda, PA-C, M.H.S. NPI is 1972854099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2180 MAIN ST
WAILUKU, HI
ZIP 96793-625
Phone: (808) 242-4267
Fax: (808) 242-4292

The NPI 1972854099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2012 and was last updated on 5/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalAMD 480HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.