Active NPI
Djon Indra Lim, M.D. Facp, Inc.
- Cardiovascular Disease Physician
- Hilo, HI
National Provider Identifier
1407126493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD2282
- Legal business name
- DJON INDRA LIM, M.D. FACP, INC.
- Practice address
- 101 Aupuni St.
Suite 140
Hilo, HI 96720-4265 - Phone
- (808) 969-3884
- Fax
- (808) 969-3887
- NPI assigned
- Jan 6, 2012
- Organization subpart
- Yes
- Parent organization
- DJON INDRA LIM, M.D. FACP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Djon Indra Lim, M.D.
- Title
- President
- Phone
- (808) 969-3884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD2282 | HI | Primary |
Addresses
Primary practice location
101 Aupuni St.
Suite 140
Hilo, HI 96720-4265
Mailing address
101 Aupuni St.
Suite 140
Hilo, HI 96720-4265
Phone (808) 969-3884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03524301 | Medicaid | HI | |
| A0038933 | Other | HI | HMSA |
National Provider Directory
National Provider Directory- Part of
- Djon Indra Lim MD Facp
Locations
101 Aupuni St
Ste 140
Hilo, HI 96720
Phone (808) 838-7752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325808000000",
"number": "1407126493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 AUPUNI ST.",
"address_2": "SUITE 140",
"city": "HILO",
"state": "HI",
"postal_code": "967204265",
"telephone_number": "808-969-3884",
"fax_number": "808-969-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AUPUNI ST.",
"address_2": "SUITE 140",
"city": "HILO",
"state": "HI",
"postal_code": "967204265",
"telephone_number": "808-969-3884",
"fax_number": "808-969-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DJON INDRA LIM, M.D. FACP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DJON INDRA LIM, M.D. FACP, INC.",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "DJON",
"authorized_official_middle_name": "INDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-969-3884",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "HI",
"license": "MD2282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03524301",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A0038933",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
- Diversified Island Investment, LTD (Maxicare-Link)
- Diversified Island Investment, LTD (Maxicare-Link)
- Diversified Island Investment, LTD (Maxicare-Link)
- Paul R Divinski, LCSW
- Carol Dixon, MSN
- DLMC, Inc. (Kamaaina Healthcare Services)
- Douglas Dung DO, M.D, M.P.H
- Stephanie Ann Dodge, PHD
- Julia Doi
- Lynda M. Dolan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.