Active NPI
Ian Matthew Work
- Driver
- Captain Cook, HI
National Provider Identifier
1528414752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 16-141
- Practice address
- 82-6065 Mamalahoa Hwy
Apt A203
Captain Cook, HI 96704-0564 - Phone
- (808) 266-5378
- NPI assigned
- May 6, 2016
- Last updated
- May 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 16-141 | HI | Primary |
Addresses
Primary practice location
82-6065 Mamalahoa Hwy
Apt A203
Captain Cook, HI 96704-0564
Mailing address
PO Box 564
Captain Cook, HI 96704-0564
Phone (503) 703-5383
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-141 | HI | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463184000000",
"number": "1528414752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "CAPTAIN COOK",
"state": "HI",
"postal_code": "967040564",
"telephone_number": "503-703-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82-6065 MAMALAHOA HWY",
"address_2": "APT A203",
"city": "CAPTAIN COOK",
"state": "HI",
"postal_code": "967040564",
"telephone_number": "808-266-5378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORK",
"first_name": "IAN",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "HI",
"license": "16-141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Captain Cook, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.