Organization Active NPI

Dr. Roger Palmer

  • Internal Medicine Physician
  • Kailua, HI
National Provider Identifier
1407568751
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. ROGER PALMER
Practice address
640 Ulukahiki St
Kailua, HI 96734-4454
Phone
(808) 263-5500
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Ms. Bria Frazier
Title
A/R Specialist
Phone
(808) 600-9034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

640 Ulukahiki St
Kailua, HI 96734-4454

Mailing address

1010 S King St Ste 205
Honolulu, HI 96814-1703
Phone (808) 600-9034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1407568751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST STE 205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141703",
            "telephone_number": "808-600-9034",
            "fax_number": "808-593-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454",
            "telephone_number": "808-263-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROGER PALMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "BRIA",
        "authorized_official_title_or_position": "A/R SPECIALIST",
        "authorized_official_telephone_number": "808-600-9034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.