Active NPI
Mary Mackiernan, M.D.
- Diagnostic Radiology Physician
- Lihue, HI
National Provider Identifier
1255403804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD-9647
- Practice address
- 3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098 - Phone
- (808) 245-1030
- Fax
- (808) 246-2914
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD-9647 | HI | Primary |
Addresses
Primary practice location
3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Mailing address
3-3420 Kuhio Highway
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1255403804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3-3420 KUHIO HIGHWAY",
"address_2": "SUITE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661098",
"telephone_number": "808-245-1030",
"fax_number": "808-246-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3-3420 KUHIO HWY",
"address_2": "SUITE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661098",
"telephone_number": "808-245-1030",
"fax_number": "808-246-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIERNAN",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD-9647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.