Active NPI
Whidbey Island Public Hospital District
- Family Medicine Physician
- Kailua Kona, HI
National Provider Identifier
1265155568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
- Practice address
- 77-6349 Halawai PL
Kailua Kona, HI 96740-2287 - Phone
- (360) 678-5151
- Fax
- (360) 678-7676
- NPI assigned
- Sep 21, 2022
- Last updated
- Sep 21, 2022
- Organization subpart
- Yes
- Parent organization
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Garth A Miller, MD
- Title
- Coo
- Phone
- (360) 678-7656
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 | Primary |
Addresses
Primary practice location
77-6349 Halawai PL
Kailua Kona, HI 96740-2287
Mailing address
101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-5151
Other names 1
- WhidbeyHealth Telehealth
National Provider Directory
National Provider Directory- Part of
- Whidbey Island Pub Hospital
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.
-
- Surgery Physician
- Coupeville, WA
- NPI 1801082102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1265155568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N MAIN ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393413",
"telephone_number": "360-678-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77-6349 HALAWAI PL",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402287",
"telephone_number": "360-678-5151",
"fax_number": "360-678-7676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GARTH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "360-678-7656",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WhidbeyHealth Telehealth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.