Active NPI
John R Littleton, P.A.C.
- Physician Assistant
- Kealakekua, HI
National Provider Identifier
1558313502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD-415
- Practice address
- 81-6587 Mamalahoa Highway
Suite C-201
Kealakekua, HI 96750 - Phone
- (808) 323-3107
- Fax
- (808) 323-0012
- NPI assigned
- May 17, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD-415 | HI | Primary |
Addresses
Primary practice location
81-6587 Mamalahoa Highway
Suite C-201
Kealakekua, HI 96750
Mailing address
PO Box 2060
Kealakekua, HI 96750-2060
Phone (808) 323-3107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA11933 | Other | CA | STATE LICENSE |
| AMD-415 | Other | HI | HAWAII STATE LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- john.littleton@59066133643268.direct.elationemr.com
- john.littleton@hawaiihie.medicity.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1558313502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2060",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967502060",
"telephone_number": "808-323-3107",
"fax_number": "808-323-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81-6587 MAMALAHOA HIGHWAY",
"address_2": "SUITE C-201",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "96750",
"telephone_number": "808-323-3107",
"fax_number": "808-323-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLETON",
"first_name": "JOHN",
"middle_name": "R",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD-415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA11933",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII STATE LICENCE",
"identifier": "AMD-415",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.