Medicus, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-16690 Issued in HI

Legal business name

MEDICUS, INC

Practice address

59-073 Kahae Rd
Haleiwa, HI 96712

Phone

(808) 282-3760

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Priscilla Kim Codiga, M.D.

Title

Physician

Phone

(808) 282-3760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1063769537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59-073 KAHAE RD",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "96712",
            "telephone_number": "808-282-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59-073 KAHAE RD",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "96712",
            "telephone_number": "808-282-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "CODIGA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-282-3760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-16690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Haleiwa, HI
• Providers in Haleiwa, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.