Active NPI
Lawrence a Peebles MD Inc
- Surgery Physician
- Kealakekua, HI
National Provider Identifier
1023315306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD3809
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2425711 | Other | UHA | |
| H0000BDHGB | Other | HI | MEDICARE PTAN |
| 0000051482 | Other | HMSA/BCBS | |
| 01045275 | Medicaid | HI | |
| 449901 | Other | OHANA |
National Provider Directory
National Provider DirectoryLocations
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.
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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.