State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Section

FREESTANDING OUTPATIENT SURGICAL FACILITIES

aka AMBULATORY SURGICAL CENTERS

HAWAII:

NUMBER	FACILITY	MEDICARE	LOCATION
1	ALOHA SURGICAL CENTER 239 Hoohana Street Kahului, Hawaii 96732 Ph: (808) 893-0578 Fax: (808) 893-0580 R. Ezra Erb Administrator Provider No. 12C0001009	X	MAUI
2	ASIA PACIFIC PLASTIC SURGERY, LLC 1401 South Beretania Street, Suite 890 Honolulu, Hawaii 96814 Ph: (808) 537-9375 Fax: (808) 537-9426 Cathy Overstreet, RN Administrator		OAHU
3	BIG ISLAND ENDOSCOPY CENTER, LLC 64-5188 Kinohou Street Kamuela, Hawaii 96743 Ph. (808) 887-0600 Fax: (808) 887-6699 Aulii Delenia Administrator Provider No. 12C0001013	X	HAWAII
4	CATARACT and VISION CENTER OF HAWAII 1712 Liliha Street, Suite 400 Honolulu, Hawaii 96817 Ph: (808) 524-1010 Fax: (808) 531-1030 Worldster Lee, M.D. Administrator Provider No. 12C0001006	X	OAHU
5	THE ENDOSCOPY CENTER 134 Puuhonu Way Hilo, Hawaii 96720 Ph: (808) 969-3979 Fax:(808) 935-7657 Jody Montell Administrator Provider No. 12C0001008	X	HAWAII
6	EYE SURGERY CENTER OF HAWAII 650 Iwilei Road, Space #225 Honolulu, Hawaii 96817 Ph: (808) 356-4300 Fax:(808) 356-4301 Douglas Tonokawa Administrator		OAHU
7	HAWAII ENDOSCOPY CENTERS, L.L.C. 2226 Liliha Street, Suite 307 Honolulu, Hawaii 96817 Ph: (808) 531-5823 Fax: (808) 531-5819 Linda Wallace Clinic Manager Provider No. 12C0001011	X	OAHU
8	HAWAIIAN EYE SURGICENTER 606 Kilani Avenue Wahiawa, Hawaii 96786 Ph: (808) 621-3111 Fax: (808) 621-2082 Gerri Sylvester Administrator Provider No. 12C0001000	X	OAHU
9	HILO COMMUNITY SURGERY CENTER 82 Puuhonu Place, Suite 100 Hilo, Hawaii 96720 Ph: (808) 969-9669 Fax: (808) 969-9608 Carol Kekauoha, R.N. Administrator Provider No. 12C0001010	X	HAWAII
10	HONOLULU SPINE CENTER 500 Ala Moana Boulevard, Building 1, Suite 301 Honolulu, Hawaii 96813 Ph: (808) 237-2970 Fax: (808) 237-2971 Nancy Kim Administrator Provider No. 12C0001015	X	OAHU
11	KAISER PERMANENTE HONOLULU CLINIC - ASC 1010 Pensacola Street Honolulu, Hawaii 96814 Ph: (808) 597-2611 Fax: (808) 597-2249 Sally M. Lee, R.N., M.S.N. Administrator Provider No. 12C0001012	X	OAHU
12	KAISER WAILUKU CLINIC ASC 80 Mahalani Street Wailuku, Hawaii 96793 Ph: (808) 243-6000 Fax: (808) 243-6090 Mary M. Hew, MPH, MBA Administrator Provider No. 12C0001100	X	MAUI
13	KONA AMBULATORY SURGERY CENTER, LLC. 75-5905 Walua Road Kailua-Kona, Hawaii 96740 Ph: (808) 443-1162 Fax: (808) 331-0512 Cindy Phillips, RN Director Provider No.: 12C0001018	X	HAWAII
14	PACIFIC ENDOSCOPY CENTER, LLC 1029 Makolu Street, Suite 1 Pearl City, Hawaii 96782 Ph: (808) 456-6420 Fax: (808) 456-6421 Maryson Cabudoy, BSN, RN, CGRN Nurse Manager Provider No.: 12C0001016	X	OAHU
15	SURGICARE OF HAWAII 500 Ala Moana Boulevard Tower 1, Suite 1B Honolulu, Hawaii 96813 Ph: (808) 528-2511 Fax: (808) 526-0651 Kristine Kroeger Interim Administrator/CEO Provider No. 12C0001003	X	OAHU
16	THE SURGICAL SUITES, LLC 1100 Ward Avenue, Suite 1001 Honolulu, Hawaii 96814 Ph: (808) 531-0127 Fax: (808) 599-4818 Gary Kurth Administrator Provider No. 12C0001004	X	OAHU
17	WINDWARD SURGERY CENTER 642 Ulukahiki Street Kailua, Hawaii 96734 Ph. (808) 218-6855 Fax: (808) 218-6868 Tracie Ann Tjapkes Administrator Provider No. 12C0001017	X	OAHU

OHCA/MEDICARE 10/22/12 ps