Active NPI
Stephen Louis Cerkas, P.A. -C.
- Physician Assistant
- Naalehu, HI
National Provider Identifier
1649385063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD 129
- Practice address
- 219 B Kaalaiki Road
Naalehu, HI 96772-0590 - Phone
- (808) 929-7331
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 129 | HI | Primary |
Addresses
Primary practice location
219 B Kaalaiki Road
Naalehu, HI 96772-0590
Mailing address
PO Box 94
94 6614 Kuamoo Street
Naalehu, HI 96772-0094
Phone (808) 929-8349
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMD 129 | HI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649385063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94",
"address_2": "94 6614 KUAMOO STREET",
"city": "NAALEHU",
"state": "HI",
"postal_code": "967720094",
"telephone_number": "808-929-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 B KAALAIKI ROAD",
"city": "NAALEHU",
"state": "HI",
"postal_code": "967720590",
"telephone_number": "808-929-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERKAS",
"first_name": "STEPHEN",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "P.A. -C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD 129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naalehu, HI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.