Pearl Harbor Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6998 Issued in HI

Legal business name

PEARL HARBOR CARE INC

Practice address

75-167 Hualalai Rd
Ste 102
Kailua Kona, HI 96740-1714

Phone

(808) 430-1186

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By 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

Frank A Williams, MDNPI 1992811574

Title

President

Phone

(808) 430-1186

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Frank Allen Williams, M.D.

  • Internal Medicine Physician
  • Kailua, HI
  • NPI 1992811574
  NPD (past) Authorized official

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1447486493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CENTRAL AVE",
            "address_2": "#354",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022506",
            "telephone_number": "808-430-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-167 HUALALAI RD",
            "address_2": "STE 102",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401714",
            "telephone_number": "808-430-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL HARBOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-430-1186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "6998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.