Organization Active NPI

J Nohea Kaawaloa MD Inc

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1124262894
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-14077 Issued in HI
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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.NPI 1114113495
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.