Active NPI
Jeffrey Bryan McDevitt, MD
- General Practice Physician
- Kailua Kona, HI
National Provider Identifier
1316008170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 02173
- Practice address
- 77-6447 Kuakini Hwy
Kailua-Kona, HI 96740 - Phone
- (808) 327-4357
- Fax
- (808) 326-1549
- NPI assigned
- Dec 13, 2006
- Last updated
- Mar 26, 2014
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 02173 | HI | Primary |
Addresses
Primary practice location
77-6447 Kuakini Hwy
Kailua-Kona, HI 96740
Mailing address
PO Box 2508
Kailua Kona, HI 96740-2508
Phone (808) 327-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E35567 | Other | HMSA BC-BS OF HI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02173 | HI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1316008170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2508",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402508",
"telephone_number": "808-327-4357",
"fax_number": "808-326-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77-6447 KUAKINI HWY",
"city": "KAILUA-KONA",
"state": "HI",
"postal_code": "96740",
"telephone_number": "808-327-4357",
"fax_number": "808-326-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDEVITT",
"first_name": "JEFFREY",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "02173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BC-BS OF HI",
"identifier": "E35567",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.