Aiea Medical Group,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3107 Issued in HI

Legal business name

AIEA MEDICAL GROUP,LLC

Practice address

98-1079 Moanalua Rd
Suite 420
Aiea, HI 96701-4713

Phone

(808) 488-7770

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael John Dimitrion, M.D.NPI 1508878836

Title

President

Phone

(808) 488-7770

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, and the practitioner matching its NPPES authorized official.

• Michael J Dimitrion, MD

  • Internal Medicine Physician
  • Aiea, HI
  • NPI 1508878836
  Authorized official Same address or phone

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1598009227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 420",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-488-7770",
            "fax_number": "808-487-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 420",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-488-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIEA MEDICAL GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "DIMITRION",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-488-7770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03759701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ahn, PSYD
• Soo Hyun Ahn, MD
• Timothy Ahu, MD
• Aiea Family Medicine, Inc
• Aiea Internal Medicine Services, L.L.C.
• Aiea Newtown Dental Group, LLC
• Aiea Pediatric Dental Center
• Aiea Pediatric Dental Center
• Aiea Pediatrics, LLC
• Maria Lourdes Javier Akagi, APRN

• Internal Medicine Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.