Hicom University

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

671 Issued in HI

Legal business name

HICOM UNIVERSITY

Practice address

180 Kinoole St Ste 301
Hilo, HI 96720-2827

Phone

(808) 933-1369

Fax

(866) 217-9199

NPI assigned

Dec 11, 2013

Last updated

Dec 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. William Burton Pettis, MS, L.AC, EAMP

Title

Medical Director

Phone

(808) 933-1369

Specialties & licenses 1

Addresses

Other names 1

• Hawaii College of Oriental Medicine Former legal business name

Locations

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1417388760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 KINOOLE ST STE 301",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202827",
            "telephone_number": "808-933-1369",
            "fax_number": "866-217-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KINOOLE ST STE 301",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202827",
            "telephone_number": "808-933-1369",
            "fax_number": "866-217-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICOM UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-933-1369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, L.AC, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii College of Oriental Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Hershberger, PSYD, LMHC
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• Hi Frequency Imaging LLC
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• Susan Elizabeth Hicks, O.T.
• Stephanie M Higa, APRN
• Joanna Eleonora Highstein, MD
• Alexis Hill Manuia
• Mario Hill
• Hilo Academic Physicians Inc (The Family Medicine Center)

• Acupuncturist in Hilo, HI
• Providers in Hilo, HI by specialty
• Acupuncturist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.