Organization Active NPI

Lawrence a Peebles MD Inc

  • Surgery Physician
  • Kealakekua, HI
National Provider Identifier
1023315306
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD3809 Issued in HI
Legal business name
LAWRENCE A PEEBLES MD INC
Practice address
81-6623 Mamalahoa Hwy
Kealakekua, HI 96750-8130
Phone
(808) 323-3855
Fax
(808) 323-2994
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence A Peebles, MD
Title
Owner
Phone
(808) 323-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD3809 HI Primary

Addresses

Primary practice location

81-6623 Mamalahoa Hwy
Kealakekua, HI 96750-8130

Mailing address

81-6623 Mamalahoa Hwy
Kealakekua, HI 96750-8130
Phone (808) 323-3855

Other identifiers 5

IdentifierTypeStateIssuer
2425711OtherUHA
H0000BDHGBOtherHIMEDICARE PTAN
0000051482OtherHMSA/BCBS
01045275MedicaidHI
449901OtherOHANA

National Provider Directory

National Provider Directory

Locations

81-6623 Mamalahoa Hwy
Kealakekua, HI 96750
Phone (808) 322-2400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1023315306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81-6623 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508130",
            "telephone_number": "808-323-3855",
            "fax_number": "808-323-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6623 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508130",
            "telephone_number": "808-323-3855",
            "fax_number": "808-323-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A PEEBLES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-323-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD3809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "2425711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H0000BDHGB",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/BCBS",
            "identifier": "0000051482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01045275",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHANA",
            "identifier": "449901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.