Active NPI
Jeremy M.S. Lam, M.D.
- Pediatrics Physician
- Honolulu, HI
National Provider Identifier
1518064476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-2207
- Practice address
- 1319 Punahou St
Suite 1140
Honolulu, HI 96826-1001 - Phone
- (808) 944-1844
- Fax
- (808) 947-9987
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-2207 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St
Suite 1140
Honolulu, HI 96826-1001
Mailing address
1319 Punahou St
Suite 1140
Honolulu, HI 96826-1001
Phone (808) 944-1844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000045344 | Other | HI | HMSA,HMSA QUEST |
| 04119401 | Medicaid | HI |
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 |
|---|---|---|---|
| MD-2207 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenny Welham, MD LLC | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Honolulu, HI
- NPI 1578941704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518064476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "SUITE 1140",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001",
"telephone_number": "808-944-1844",
"fax_number": "808-947-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "SUITE 1140",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001",
"telephone_number": "808-944-1844",
"fax_number": "808-947-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JEREMY",
"middle_name": "M.S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD-2207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA,HMSA QUEST",
"identifier": "0000045344",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04119401",
"state": "HI"
}
],
"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 Jul 9, 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.