Healthcare Provider Details

I. General information

NPI: 1518549815
Provider Name (Legal Business Name): CATHERINE SCOTT PA - C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 LOWER HONOAPIILANI RD STE 211
LAHAINA HI
96761-8404
US

IV. Provider business mailing address

11 HOOIKI PL
KIHEI HI
96753-6084
US

V. Phone/Fax

Practice location:
  • Phone: 808-667-7676
  • Fax: 808-667-7678
Mailing address:
  • Phone: 972-273-9682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: