Organization Active NPI

Kauai Holistic Medicine Inc.

  • General Practice Physician
  • Kapaa, HI
National Provider Identifier
1184833709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD9581 Issued in HI
Legal business name
KAUAI HOLISTIC MEDICINE INC.
Practice address
4504 Kukui St
Suite 13
Kapaa, HI 96746-1701
Phone
(808) 823-0994
Fax
(808) 823-0995
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas R Yarema, M.D.
Title
President
Phone
(808) 823-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD9581 HI Primary

Addresses

Primary practice location

4504 Kukui St
Suite 13
Kapaa, HI 96746-1701

Mailing address

4504 Kukui St
Suite 13
Kapaa, HI 96746-1701
Phone (808) 823-0994

National Provider Directory

National Provider Directory

Locations

4504 Kukui St
Ste 13
Kapaa, HI 96746
Phone (808) 823-0994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184833709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 KUKUI ST",
            "address_2": "SUITE 13",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461701",
            "telephone_number": "808-823-0994",
            "fax_number": "808-823-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 KUKUI ST",
            "address_2": "SUITE 13",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461701",
            "telephone_number": "808-823-0994",
            "fax_number": "808-823-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI HOLISTIC MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAREMA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-823-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD9581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.