Active NPI
Kona Cardiovascular Inc
- Cardiovascular Disease Physician
- Kailua Kona, HI
National Provider Identifier
1033762760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- KONA CARDIOVASCULAR INC
- Practice address
- 75-167 Hualalai Rd Ste 100
Kailua Kona, HI 96740-1714 - Phone
- (808) 331-8494
- Fax
- (808) 331-8377
- NPI assigned
- Jul 22, 2019
- 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
- April M Johnson
- Title
- Manager
- Phone
- (808) 331-8494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
75-167 Hualalai Rd Ste 100
Kailua Kona, HI 96740-1714
Mailing address
75-167 Hualalai Rd Ste 100
Kailua Kona, HI 96740-1714
Phone (808) 854-1162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
75-167 Hualalai Rd
Ste 100
Kailua Kona, HI 96740
Phone (808) 331-8494
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kailua Kona, HI
- NPI 1851354393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1033762760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-167 HUALALAI RD STE 100",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401714",
"telephone_number": "808-854-1162",
"fax_number": "808-331-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-167 HUALALAI RD STE 100",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401714",
"telephone_number": "808-331-8494",
"fax_number": "808-331-8377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KONA CARDIOVASCULAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-22",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "808-331-8494"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.