Windward Pediatrics, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD6927 Issued in HI

Legal business name

WINDWARD PEDIATRICS, INC.

Practice address

45-710 Kamehameha Hwy
Kaneohe, HI 96744-2947

Phone

(808) 247-6644

Fax

(808) 235-2566

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Ky Yim, MD

Title

Physician

Phone

(808) 247-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia A Oconnell, NP

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1386309102
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1528085222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-710 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442947",
            "telephone_number": "808-247-6644",
            "fax_number": "808-235-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-710 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442947",
            "telephone_number": "808-247-6644",
            "fax_number": "808-235-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-247-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD6927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03752002",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windward Dental Associates, Inc.
• Windward Early Childhood Services Program
• Windward Family Psychological Services Inc.
• Windward Family Wellness Center
• Windward Obstetrics and Gynecology LLC
• Windward Urgent Care Services, L.L.C
• Windward Vision Center Associates, Inc.
• Zachary M Wolf, LCSW
• Robert Woliver, PH.D.
• Antonia Wollert, LPC

• Specialist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.