James R Frede, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Kahului, HI
NPI 1497757223 · NPPES record last updated Sep 15, 2011
Key facts
- NPI
- 1497757223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 13879 (HI)
- Practice address
- 430 Kele St Ste 401
Kahului, HI 96732-3406 - Phone
- (808) 250-4427
- Fax
- (808) 873-6429
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13879 | HI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easy Scripts Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13879 | HI | Yes |
Addresses
Primary practice location
430 Kele St Ste 401
Kahului, HI 96732-3406
Mailing address
430 Kele St Ste 401
Kahului, HI 96732-3406
Phone (808) 250-4427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330359461026 | Other | OH | CARESOURCE |
| 2139519 | Medicaid | OH | |
| 000000177604 | Other | OH | ANTHEM |
| 2188078 | Other | OH | AETNA |
| 0702306 | Other | OH | UNITED HEALTH CARE |
Other providers in Kahului, HI
- Andrew Mickle Fox
- Beth Ann Fox
- Shyanti Marie Kuulei Franco
- Frank R. Baum, MD, Inc.
- Lauren Trinity Franzwa
- Ann Marie Fuggiasco
- Ryan Fusato
- G Corp Dba Maui Home Infusion
- Nicole Galasso
- Nicole Naulani Galindo
All providers in Kahului, HI · Obstetrics & Gynecology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.