NPIMap

Organization Active NPI

Hilo Academic Physicians Inc

Doing business as The Family Medicine Center

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1417987306
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9958 Issued in HI
Legal business name
HILO ACADEMIC PHYSICIANS INC
Doing business as
The Family Medicine Center
Practice address
615 Ponahawai St Ste 101
Hilo, HI 96720-7665
Phone
(808) 933-9187
Fax
(808) 961-5905
NPI assigned
Jul 4, 2006
Last updated
Jul 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Lynda Dolan, MDNPI 1548207319
Title
President
Phone
(808) 933-9187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5902 HI
Family Medicine Physician 207Q00000X 9958 HI Primary
Internal Medicine Physician 207R00000X 4898 HI

Addresses

Primary practice location

615 Ponahawai St Ste 101
Hilo, HI 96720-7665

Mailing address

615 Ponahawai St Ste 101
Hilo, HI 96720-7665
Phone (808) 933-9187

Other names 1

  • The Family Medicine Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000619 HI Part B Supplier - Clinic/Group Practice 4284525163 Receives reassigned benefits from 4 practitioners
Practice locations: Hilo, HI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0955563Family Medicine Center615 Ponahawai St Suite #101, Hilo, HI 96720Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACABD

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1417987306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PONAHAWAI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207665",
            "telephone_number": "808-933-9187",
            "fax_number": "808-961-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PONAHAWAI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207665",
            "telephone_number": "808-933-9187",
            "fax_number": "808-961-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO ACADEMIC PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-933-9187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "5902",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "9958",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "4898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.