Mary Linda Paul M.D., Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARY LINDA PAUL M.D., INC.

Practice address

4297 Omao Rd
Koloa, HI 96756-9624

Phone

(808) 742-0105

NPI assigned

Aug 24, 2007

Last updated

Aug 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Linda Paul, M.D.

Title

M.D.

Phone

(808) 742-0105

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mary Linda Paul, M.D.

  • Internal Medicine Physician
  • Kalaheo, HI
  • NPI 1285639971
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1326231002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 PEE RD # 7",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569593",
            "telephone_number": "808-742-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4297 OMAO RD",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569624",
            "telephone_number": "808-742-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LINDA PAUL M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MARY LINDA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "808-742-0105",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50008403",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Koloa, HI
• Providers in Koloa, HI by specialty
• Skilled Nursing Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.