Craig Y. Shikuma, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3967 Issued in HI

Legal business name

CRAIG Y. SHIKUMA, M.D., INC.

Practice address

82 Puuhonu PL
Suite 207
Hilo, HI 96720-2010

Phone

(808) 935-5522

Fax

(808) 961-5058

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Craig Yoshihiro Shikuma, M.D.

Title

President

Phone

(808) 935-5522

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1104097534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PLACE",
            "address_2": "SUITE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-935-5522",
            "fax_number": "808-961-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PL",
            "address_2": "SUITE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-935-5522",
            "fax_number": "808-961-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG Y. SHIKUMA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "SHIKUMA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "YOSHIHIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-935-5522",
        "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": "3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521650",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cimmaron Craig
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• Bobbie Jean Kiana Crivello, RN
• Tifaine Crivello

• Internal Medicine Physician in Hilo, HI
• Providers in Hilo, 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 Sep 11, 2017; 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.