Provider Demographics
NPI:1962479196
Name:BARFF, HENRY WALTER JR (PA-C)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:WALTER
Last Name:BARFF
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 IMI KALA ST STE 209
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1274
Mailing Address - Country:US
Mailing Address - Phone:808-673-5778
Mailing Address - Fax:866-573-0778
Practice Address - Street 1:210 IMI KALA ST STE 209
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1274
Practice Address - Country:US
Practice Address - Phone:808-673-5778
Practice Address - Fax:866-573-0778
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02915363AS0400X
HIAMD-1379363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86N960Medicare ID - Type Unspecified
TXP20353Medicare UPIN