Organization Active NPI

White Mountain Health LLC

  • Family Medicine Physician
  • Kamuela, HI
National Provider Identifier
1366701708
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-13604 Issued in HI
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

Updated by the provider on May 4, 2012

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.