Organization Active NPI

Henry K Lee Loy MD Inc

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1356475933
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HENRY K LEE LOY MD INC
Practice address
670 Ponahawai St Ste 218
Hilo, HI 96720-2660
Phone
(808) 969-2011
Fax
(808) 969-3480
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Henry K Lee Loy
Title
Internest
Phone
(808) 969-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

670 Ponahawai St Ste 218
Hilo, HI 96720-2660

Mailing address

670 Ponahawai St Ste 218
Hilo, HI 96720-2660
Phone (808) 969-2011

Other identifiers 3

IdentifierTypeStateIssuer
01567401MedicaidHI
$$$$$$$$$OtherHISOCIAL SECURITY NUMBER
0016840OtherHIHMSA INSURANCE

National Provider Directory

National Provider Directory

Locations

670 Ponahawai St
Ste 218
Hilo, HI 96720
Phone (808) 969-2011

325 Kinoole St
Hilo, HI 96720
Phone (808) 969-2011

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356475933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 218",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-969-2011",
            "fax_number": "808-969-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 218",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-969-2011",
            "fax_number": "808-969-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY K LEE LOY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE LOY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "INTERNEST",
        "authorized_official_telephone_number": "808-969-2011",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01567401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA INSURANCE",
            "identifier": "0016840",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.