Alan David Thal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD5213 Issued in HI

Practice address

55-3327 Akoni Pule Highway
Hawi, HI 96719

Phone

(808) 889-5556

Fax

(808) 889-5411

NPI assigned

Apr 13, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356565774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967550879",
            "telephone_number": "808-889-5556",
            "fax_number": "808-889-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-3327 AKONI PULE HIGHWAY",
            "city": "HAWI",
            "state": "HI",
            "postal_code": "96719",
            "telephone_number": "808-889-5556",
            "fax_number": "808-889-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAL",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Mulligan, MFTC
• Kristin Love Nemzer, LMFT
• Jasmine Elizabeth Smith, LCSW
• Douglas M White, DPT
• Rebecca Woods, LMT

• Family Medicine Physician in Hawi, HI
• Providers in Hawi, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.