Hilo Obstetrics and Gynecology, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD-16277 Issued in HI

Legal business name

HILO OBSTETRICS AND GYNECOLOGY, LLC

Practice address

670 Ponahawai St Ste 115
Hilo, HI 96720-7831

Phone

(808) 933-2100

Fax

(808) 933-2112

NPI assigned

Dec 11, 2011

Last updated

Mar 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Quyen-Anh Dai Tran, M.D.NPI 1467754432

Title

Doctor

Phone

(808) 933-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quyen-Anh Dai Tran, MD

  • Obstetrics & Gynecology Physician
  • Hilo, HI
  • NPI 1467754432
  Medicare reassignment NPD Authorized official
• Robert Dailey Irvine, MD

  • Orthopaedic Surgery Physician
  • Hilo, HI
  • NPI 1336179167
  NPD (past)

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

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1366710915",
    "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": "808-933-2100",
            "fax_number": "808-933-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 115",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207831",
            "telephone_number": "808-933-2100",
            "fax_number": "808-933-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO OBSTETRICS AND GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-11",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "QUYEN-ANH",
        "authorized_official_middle_name": "DAI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "808-933-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "MD-16277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilo Medical Center
• Hilo Medical Center Anesthesia
• Hilo Medical Center Home Health Epsdt
• Hilo Medical Investors LTD (Life Care Center of Hilo)
• Hilo Natural Health Clinic, LLC
• Hilo Osteopathic Family Medicine, LLC
• Hilo SNF LLC
• Hilo Urgent Care Center, LLC
• Hilo Urgent Care, LLC
• Christopher M. Hilton, D.C.

• Medical Specialty Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Medical Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.