Organization Active NPI

Sukchai Satta MD, Inc.

  • Internal Medicine Physician
  • Kealakekua, HI
National Provider Identifier
1417025818
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUKCHAI SATTA MD, INC.
Practice address
79-7266 Mamalahoa Hwy
Suite 2
Kealakekua, HI 96750-7919
Phone
(808) 322-9324
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Dr. Sukchai Satta, MD
Title
Its President
Phone
(808) 322-9324

Specialties & licenses 1

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

Addresses

Primary practice location

79-7266 Mamalahoa Hwy
Suite 2
Kealakekua, HI 96750-7919

Mailing address

PO Box 9003
Kealakekua, HI 96750-9003
Phone (808) 322-9324

Other identifiers 2

IdentifierTypeStateIssuer
03609001MedicaidHI
39776OtherHIHMSA

National Provider Directory

National Provider Directory

Locations

79-7266 Mamalahoa Hwy
Ste 2
Kealakekua, HI 96750
Phone (808) 322-9324

79-7266 Mamalahoa Hwy
Kealakekua, HI 96750
Phone (808) 203-6592

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1417025818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9003",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967509003",
            "telephone_number": "808-322-9324",
            "fax_number": "808-322-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7266 MAMALAHOA HWY",
            "address_2": "SUITE 2",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507919",
            "telephone_number": "808-322-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKCHAI SATTA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "SATTA",
        "authorized_official_first_name": "SUKCHAI",
        "authorized_official_title_or_position": "ITS PRESIDENT",
        "authorized_official_telephone_number": "808-322-9324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03609001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "39776",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.