Donald E Nicol MD Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3657 Issued in HI

Legal business name

DONALD E NICOL MD INC

Practice address

549 Halemaumau St Ste F
Honolulu, HI 96821-2150

Phone

(808) 373-2164

Fax

(808) 377-9705

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Donald Edward Nicol, MDNPI 1053367284

Title

President

Phone

(808) 373-2164

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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

• Donald Edward Nicol, MD

  • Specialist
  • Honolulu, HI
  • NPI 1053367284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1265771828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 HALEMAUMAU ST STE F",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212150",
            "telephone_number": "808-373-2164",
            "fax_number": "808-377-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 HALEMAUMAU ST STE F",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212150",
            "telephone_number": "808-373-2164",
            "fax_number": "808-377-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E NICOL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-373-2164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "HI",
            "license": "3657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA MEDICAID",
            "identifier": "00C0046874",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "1053367284",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA, INC",
            "identifier": "1053367284",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1053367284",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "1053367284",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04242601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1053367284",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOHACARE",
            "identifier": "04242601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX HI",
            "identifier": "1053367284",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1053367284",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Preferred Provider Organization in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.