1. Home
  2. Directory
  3. Hawaii
  4. Kihei
  5. Plastic Surgery
  6. NPI Profile

IVEY PLASTIC SURGERY LLC
NPI 1205427861
Plastic Surgery in Kihei, HI

Active since January 27, 2021CLIA 12D2316602 · Waiver
411 HUKU LII PL STE 303, KIHEI, HI 96753(808) 877-7710(808) 877-7480 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ivey Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVEY PLASTIC SURGERY LLC (NPI 1205427861) is a healthcare organization registered as a plastic surgery in Kihei, Hawaii and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Jon S Ivey, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1205427861
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameIVEY PLASTIC SURGERY LLC
Location Address411 HUKU LII PL STE 303Kihei, HI 96753-7062
Mailing AddressLockbox 5799 Po Box 31000Honolulu, HI 96849-5799 · (808) 877-7710 · Fax (808) 877-7480
Phone(808) 877-7710
Fax(808) 877-7480
Organization SubpartNo
Authorized OfficialJon S IveyAuthorized Official · (843) 830-6479
Enumeration DateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1205427861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
411 HUKU LII PL STE 303, Kihei, HI 96753
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2316602

Ivey Plastic Surgery · Kihei, HI
Active · expires Jan 7, 2027
CLIA Number12D2316602
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorDr. Jon S. Ivey
Laboratory Phone(808) 500-5146
Laboratory LocationIvey Plastic Surgery411 Huku Lii Pl, Suite 303, Kihei, HI 96753
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZION II INC
Nurse Anesthetist, Certified Registered
411 HUKU LII PL STE 303
KIHEI, HI 96753
Maui County (760) 567-8117
JON SIMON IVEY MD
Plastic Surgery
411 HUKU LII PL STE 303
KIHEI, HI 96753
Maui County (808) 877-7710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivey Plastic Surgery LLC's NPI number?

The NPI number for Ivey Plastic Surgery LLC is 1205427861. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Ivey Plastic Surgery LLC located?

Ivey Plastic Surgery LLC is located at 411 Huku Lii Pl Ste 303, Kihei, HI 96753. The listed phone number is (808) 877-7710.

What is Ivey Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Ivey Plastic Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2316602) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ivey Plastic Surgery LLC was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.