Midnight Sun Genl Medicine Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIDNIGHT SUN GENL MEDICINE CLINIC

Practice address

91-3633 Kauluakoko St Unit 406
Ewa Beach, HI 96706-5867

Phone

(907) 775-6780

Fax

(808) 312-4582

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Jerald R Scott, MD

Title

Medical Director and Owner

Phone

(907) 775-6780

Specialties & licenses 1

Addresses

Other names 1

• Midnight Sun Clinic and Medical Spa Doing business as

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1497336226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-3633 KAULUAKOKO ST UNIT 406",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065867",
            "telephone_number": "907-775-6780",
            "fax_number": "808-312-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-3633 KAULUAKOKO ST UNIT 406",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065867",
            "telephone_number": "907-775-6780",
            "fax_number": "808-312-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDNIGHT SUN GENL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "907-775-6780",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midnight Sun Clinic and Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midnight Sun Clinic and Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Kokua
• Mental Health Kokua
• Jasnie Mercado
• Kimberly G Mercado
• Michael a McMann M.D., LLC
• Anthony Michael Migura, MD
• Kimberly Ann Lokahi Milar, MSCP
• Aaron Miller
• Abigail Catherine Minnich
• Subodh Mishra

• Family Medicine Physician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.