Medical Clinic, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

MD12315 Issued in HI

Legal business name

MEDICAL CLINIC, INC.

Practice address

414 Uluniu St
Kailua, HI 96734-2517

Phone

(808) 261-8345

Fax

(808) 262-5239

NPI assigned

Jul 29, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip Iee-Lian Kuo Jr., M.D., PH.D.NPI 1003859059

Title

Physician

Phone

(808) 523-1600

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 8

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.

• Philip Iee-Lian Kuo, M.D., PH.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Kailua, HI
  • NPI 1003859059
  Medicare reassignment Care Compare group NPD Authorized official
• Philip H Kuo, MD

  • Allergy & Immunology Physician
  • Kailua, HI
  • NPI 1164459327
  Medicare reassignment Care Compare group NPD
• Sylvia Wang, MD

  • Internal Medicine Physician
  • Kailua, HI
  • NPI 1043254113
  Medicare reassignment Care Compare group NPD
• Myrna Iee-Hsin Kuo, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1588831309

  HI

  Medicare reassignment Care Compare group NPD
• Anne Hancock Smits, PA-C

  • Physician Assistant
  • Gulfport, MS
  • NPI 1720310956

  HI

  Medicare reassignment Care Compare group NPD
• Mandi Sue Breyman, PA

  • Physician Assistant
  • Honolulu, HI
  • NPI 1003150368
  Medicare reassignment Care Compare group
• Lisa Deppmeier, PA-C

  • Physician Assistant
  • Alexandria, VA
  • NPI 1871886697

  HI

  Medicare reassignment Care Compare group
• Ian Keaupuni Awai, PA-C

  • Medical Physician Assistant
  • Puyallup, WA
  • NPI 1902491707

  HI

  Medicare reassignment

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1144234402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342517",
            "telephone_number": "808-261-8345",
            "fax_number": "808-262-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342517",
            "telephone_number": "808-261-8345",
            "fax_number": "808-262-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "IEE-LIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-523-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "HI",
            "license": "MD12315",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD12315",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "HI",
            "license": "MD12315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige McManus, M.S.
• Camille Isabella McMillian
• Malakai Justice McMorrow-Oberle
• Macy McQuillen
• Helen Kate McWaters, LPN
• Robert J Medoff, MD
• Christopher Lee Melahn, PH.D.
• Melissa Sutherland Aprn-RX LLC
• Ezra Mell, PHARM.D.
• Jeff Mellor

• Multi-Specialty Clinic/Center in Kailua, HI
• Providers in Kailua, HI by specialty
• Multi-Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.

Verify at the official NPI Registry.