Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane J Millard, AMD

Individual provider Physician Assistant · NPI 1568444941

Shane J Millard, AMD is a Physician Assistant in Kailua, Hawaii. Qualified in 2004, 22 years ago. Practices with Braun Urgent Care Kailua LLC, a 3-clinician group and offers telehealth. Licensed in Hawaii.

Years since qualifying
22
Licensed in
HI
In the registry since
2005
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

130 Kailua Rd Ste 111
Kailua, HI 96734-3420
Phone: (808) 261-4411
Fax: (808) 466-3354
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD 240 (HI)

Record details

NPI number1568444941
Entity typeIndividual (Type 1)
GenderMale
Credentials AMD
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address130 Kailua Rd, Suite 111, Kailua, HI 96734-3420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Braun Urgent Care Kailua Llc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Kailua