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Physician Assistant

TAYLOR SURPRISE PA

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1255893301 · enumerated 2019-04-05 · record updated 2021-06-15. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Practice location 165 MAA ST, KAHULUI, HI, 96732-3603 (808) 446-7120 Fax (808) 446-7121 Google Maps Apple Maps OpenStreetMap
Mailing address 165 MAA ST, KAHULUI, HI, 96732-3603 (808) 446-7120 Fax (808) 446-7121 Google Maps Apple Maps OpenStreetMap

Specialties

Physician Assistant 363A00000X · Primary · License AMD-1054 HI
Physician Assistant 363A00000X · License 7564 AZ

In this directory

HI Maui County Kahului Physician Assistant

Locations and evidence

Practice location KAHULUI, HI, 967323603
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.