Allan Nathan, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD-14215 Issued in HI

Practice address

48 Lono Ave
Kahului, HI 96732-1614

Phone

(808) 871-7772

Fax

(808) 872-4029

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Community Clinic of Maui, Inc.

  dba Malama I Ke Ola Health Center

  • Federally Qualified Health Center (FQHC)
  • Kahului, HI
  • NPI 1467346916
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1649453929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LONO AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321614",
            "telephone_number": "808-871-7772",
            "fax_number": "808-872-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LONO AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321614",
            "telephone_number": "808-871-7772",
            "fax_number": "808-872-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "ALLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "HI",
            "license": "MD-14215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071290-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randie Ann Nagao, PHARM.D.
• Malissa Nagata, LCSW
• Jenna M Nakama, CCC-SLP, BCBA
• Leimaileokapiolani Naone, RBT
• Christina Nardi, DNP, FNP
• Nautilus Counseling Hawaii LLC
• Richard M Navarro, PHD/CCC/A
• April Anne Nay, RBT
• Elaine Newhouse, RBT-21-193861
• Tesha Anne Newman, M.D.

• Legal Medicine in Kahului, HI
• Providers in Kahului, HI by specialty
• Legal Medicine in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.