Active NPI
Mary Lynn Fines Ricardo-Dukelow, M.D.
- Infectious Disease Physician
- Honolulu, HI
National Provider Identifier
1508815614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 13253
- Practice address
- 2424 Kalakaua Ave # 476a
Honolulu, HI 96815-3233 - Phone
- (808) 922-6000
- Fax
- (808) 922-2680
- NPI assigned
- May 8, 2006
- Last updated
- Nov 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 23296 | NE | |
| Infectious Disease Physician | 207RI0200X | 13253 | HI | Primary |
Addresses
Primary practice location
2424 Kalakaua Ave # 476a
Honolulu, HI 96815-3233
Mailing address
98-1780 Ipuala Loop
Aiea, HI 96701-1701
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13253 | HI | MD | Infectious Disease Physician |
| 23296 | NE | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1508815614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1780 IPUALA LOOP",
"city": "AIEA",
"state": "HI",
"postal_code": "967011701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 KALAKAUA AVE # 476A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968153233",
"telephone_number": "808-922-6000",
"fax_number": "808-922-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICARDO-DUKELOW",
"first_name": "MARY LYNN",
"middle_name": "FINES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NE",
"license": "23296",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "HI",
"license": "13253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.