Active NPI
White Mountain Health LLC
- Family Medicine Physician
- Kamuela, HI
National Provider Identifier
1366701708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-13604
- Legal business name
- WHITE MOUNTAIN HEALTH LLC
- Practice address
- 65-1235A Opelo Road
Suite 6
Kamuela, HI 96743-8401 - Phone
- (808) 887-1210
- NPI assigned
- May 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert B Hollander III, M.D.
- Title
- Owner
- Phone
- (808) 887-1210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-13604 | HI | Primary |
Addresses
Primary practice location
65-1235A Opelo Road
Suite 6
Kamuela, HI 96743-8401
Mailing address
PO Box 25490
Honolulu, HI 96825-0490
Phone (808) 536-0300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Kamuela, HI
- NPI 1144404757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336089600000",
"number": "1366701708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25490",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968250490",
"telephone_number": "808-536-0300",
"fax_number": "808-536-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-1235A OPELO ROAD",
"address_2": "SUITE 6",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438401",
"telephone_number": "808-887-1210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE MOUNTAIN HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-04",
"status": "A",
"authorized_official_last_name": "HOLLANDER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-887-1210",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-13604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.