The Family Doctor

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD15499 Issued in HI

Legal business name

THE FAMILY DOCTOR

Practice address

1001 Kamokila Blvd Ste 181
Kapolei, HI 96707-2090

Phone

(808) 375-7445

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Graeme Reed, MDNPI 1609105162

Title

Owner

Phone

(909) 533-1886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

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

• Graeme Anthony Reed, M.D.

  • Family Medicine Physician
  • Colton, CA
  • NPI 1609105162

  HI

  Medicare reassignment NPD Authorized official
• Marie Kathryne Williams

  • General Practice Registered Nurse
  • Kapolei, HI
  • NPI 1710281241
  Medicare reassignment NPD

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1609166537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST # 124-445",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 181",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072090",
            "telephone_number": "808-375-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "GRAEME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-533-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "MD15499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandhana Tejada
• Jaime Suzan Tenorio
• Tiffany Teofilo
• Cindy M. K. Teramoto, LCSW
• Thai Aroma Massage Therapy LLC
• The Kids Doc, LLC
• The Luxsa Thai Massage LLC
• Thant Z Thein, DPT
• Therohana LLC
• James Thibodeau, PT, DPT, CSCS, TPI

• Primary Care Clinic/Center in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.