Kona Coast Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD3580 Issued in HI

Legal business name

KONA COAST INTERNAL MEDICINE

Practice address

77-6433 Walua Rd
Kailua Kona, HI 96740

Phone

(808) 329-7007

Fax

(808) 329-4180

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Jonthan James, MD

Title

President

Phone

(808) 329-7007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1396742243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390372",
            "city": "KEAUHOU",
            "state": "HI",
            "postal_code": "967390372",
            "telephone_number": "808-329-7007",
            "fax_number": "808-329-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-6433 WALUA RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-329-7007",
            "fax_number": "808-329-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA COAST INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JONTHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-329-7007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD3580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04265702",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.