Douglas A Sutherland, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD917702 Issued in HI

Practice address

56 119 Pualalea St
Kahuku, HI 96731

Phone

(808) 293-9231

Fax

(808) 293-1511

NPI assigned

Jun 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of Oklahoma College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ko Olauloa Health CenterGroup PAC ID 0941259394, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: douglas.sutherland@hawaiihie.medicity.net
• Direct secure messaging: dsutherland726898@direct.ochin.org

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.

• Ko Olauloa Health Center

  dba Ko'olauloa Community Health and Wellness Center, Kahuku Medical

  • Federally Qualified Health Center (FQHC)
  • Kahuku, HI
  • NPI 1528026952
  Medicare reassignment Care Compare group
• Kahuku Medical Center

  • Critical Access Hospital
  • Kahuku, HI
  • NPI 1245430065
  NPD
• Ko Olauloa Health Center

  dba Ko'olauloa Pharmacy

  • Clinic Pharmacy
  • Kahuku, HI
  • NPI 1235442849
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578508602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 119 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "96731",
            "telephone_number": "808-293-9231",
            "fax_number": "808-293-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 119 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "96731",
            "telephone_number": "808-293-9231",
            "fax_number": "808-293-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD917702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07732901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pato Sina Soli
• Thomas Sperandeo, M.D.
• Joseph Robert Kanekoa Spurrier, MSW, CSAC
• Kyla L Stueber, PSYD
• Sunset Therapy Center
• Karoline K Tam
• Momilani Sarah-Jean Te'O
• Catherine Teriipaia, HOUSE MANAGER
• The Bobby Benson Center
• The Bobby Benson Center

• Pediatrics Physician in Kahuku, HI
• Providers in Kahuku, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.