Robert Dailey Irvine, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2284 Issued in HI

Practice address

670 Ponahawai St
Suite 115
Hilo, HI 96720-2660

Phone

(808) 935-5465

Fax

(808) 935-5467

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hilo Obstetrics and Gynecology, LLC

  • Medical Specialty Clinic/Center
  • Hilo, HI
  • NPI 1366710915
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1336179167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST",
            "address_2": "SUITE 115",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-935-5465",
            "fax_number": "808-935-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST",
            "address_2": "SUITE 115",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-935-5465",
            "fax_number": "808-935-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "ROBERT",
        "middle_name": "DAILEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICES ASSOCIATION",
            "identifier": "0000036673",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03316401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insight Therapeia LLC
• Integrated Medicine Institute, Inc.
• Roslyn K Ioane-Ogawa
• Eileen Iosefo, AA, BA
• Theodore Ireland II
• Kapuakea Isaak
• Gloria Alohiwailani Ishibashi, M.A.
• Herbert Puali'Ialoha Ishibashi, J.D.
• Skylane Kaleookalani Ishibashi, M.A.
• Shannon Akemi Ishigo-Hashiro, R.PH.

• Orthopaedic Surgery Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Orthopaedic Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.