North Shore Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD10874 Issued in HI

Legal business name

NORTH SHORE MEDICAL CENTER

Practice address

2490 Oka St
Kilauea, HI 96754-5332

Phone

(808) 828-1418

Fax

(808) 828-1666

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charlotte Louise Hunter, M.D.

Title

Organizer

Phone

(808) 828-1418

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396951406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 OKA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545332",
            "telephone_number": "808-828-1418",
            "fax_number": "808-828-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 OKA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545332",
            "telephone_number": "808-828-1418",
            "fax_number": "808-828-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "808-828-1418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD10874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Hisako Nebre, MSW, LCSW
• Harley Kauai Makani Ness, CMT
• Neuronalu LLC
• Tonya Marie Nickerson, LMT
• Halia Rosalie Ann Nomura
• North Shore Physical Therapy
• Northshore Acupunture Kaua'I
• Ohana Integrative Medicine
• Ohk Inc.
• Crystal Kiyomi Okamoto, PT

• Family Medicine Physician in Kilauea, HI
• Providers in Kilauea, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.