Active NPI
J Nohea Kaawaloa MD Inc
- Family Medicine Physician
- Hilo, HI
National Provider Identifier
1124262894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-14077
- Legal business name
- J NOHEA KAAWALOA MD INC
- Practice address
- 670 Ponahawai St
Suite 220
Hilo, HI 96720-2660 - Phone
- (808) 933-1120
- Fax
- (808) 933-1125
- NPI assigned
- Apr 27, 2009
- Last updated
- Jun 19, 2009
- 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. Jerem Nohea Kaawaloa, M.D.
- Title
- President
- Phone
- (808) 933-1120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-14077 | HI | Primary |
Addresses
Primary practice location
670 Ponahawai St
Suite 220
Hilo, HI 96720-2660
Mailing address
670 Ponahawai St
Suite 220
Hilo, HI 96720-2660
Phone (808) 933-1120
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Hilo, HI
- NPI 1114113495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1124262894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 220",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-933-1120",
"fax_number": "808-933-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 220",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-933-1120",
"fax_number": "808-933-1125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J NOHEA KAAWALOA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-27",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "KAAWALOA",
"authorized_official_first_name": "JEREM",
"authorized_official_middle_name": "NOHEA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-933-1120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-14077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.