Active NPI
Terence John Carolan, M.D.
- Pediatrics Physician
- Lihue, HI
National Provider Identifier
1467745877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 03145
- Practice address
- 2978 Haleko Rd
Lihue, HI 96766-1379 - Phone
- (808) 245-8566
- Fax
- (808) 246-4989
- NPI assigned
- May 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Lihye, HI
- NPI 1891879151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03145 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kauai Pediatrics Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 03145 | HI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2978 Haleko Rd
Lihue, HI 96766-1379
Mailing address
2978 Haleko Rd
Lihue, HI 96766-1379
Phone (808) 245-8566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2011.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1467745877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2978 HALEKO RD",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661379",
"telephone_number": "808-245-8566",
"fax_number": "808-246-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2978 HALEKO RD",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661379",
"telephone_number": "808-245-8566",
"fax_number": "808-246-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLAN",
"first_name": "TERENCE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "03145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.