Big Island Urology & Andrology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD-14791 Issued in HI

Legal business name

BIG ISLAND UROLOGY & ANDROLOGY

Practice address

75-184 Hualalai Rd Ste 200
Kailua Kona, HI 96740-1719

Phone

(808) 238-0412

Fax

(808) 238-0427

NPI assigned

Sep 8, 2014

Last updated

Sep 8, 2014By 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

Mrs. Beonka J Snyder

Title

Practice Manager

Phone

(808) 238-0412

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1659772762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-184 HUALALAI RD STE 200",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401719",
            "telephone_number": "808-238-0412",
            "fax_number": "808-238-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-184 HUALALAI RD STE 200",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401719",
            "telephone_number": "808-238-0412",
            "fax_number": "808-238-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND UROLOGY & ANDROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "BEONKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "808-238-0412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "MD-14791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Betlach, M.T.
• Beyond Healing LLC
• Kittikhun Bhukhongkha
• Big Island Comprehensive Neurological Services, LTD.
• Big Island Smiles Orthodontocs LLC
• Naomi G Bikle, M.D.
• Tamu Blakeney
• Allison Blanco
• Misti Blandford, PAC
• Katrina Blas, PHARMD

• Urology Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Urology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.