Active NPI
Paniolo Country Pediatrics LLC
- Pediatrics Physician
- Kamuela, HI
National Provider Identifier
1699856286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PANIOLO COUNTRY PEDIATRICS LLC
- Practice address
- 64-1032 Mamalahoa Hwy Ste 204
Kamuela, HI 96743-8441 - Phone
- (808) 887-6543
- Fax
- (808) 887-6294
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ross P Lee
- Title
- Business Administrator
- Phone
- (808) 887-6543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
64-1032 Mamalahoa Hwy Ste 204
Kamuela, HI 96743-8441
Mailing address
PO Box 6149
Kamuela, HI 96743-6149
Phone (808) 887-6543
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000235200 | Other | HI | QHMS, DR. KAPLAN |
| 50529001 | Medicaid | HI | |
| 50672701 | Medicaid | HI | |
| A004 | Other | CHAMPUS, DR. KAPLAN | |
| 00226101 | Medicaid | HI | |
| 3573421 | Other | HI | UHA, DR. KAPLAN |
| 9587421 | Other | HI | UHA, DR. GREGG |
| 0000227603 | Other | HI | QHMS, DR. LEE |
| 00A0211829 | Other | HI | QHMS, DR. GREGG |
| A003 | Other | CHAMPUS, DR. LEE | |
| A21182 | Other | HI | HSMA, DR. GREGG |
| 022760 | Other | HI | HMSA, DR. LEE |
| 2314421 | Other | HI | UHA, DR. LEE |
| A002 | Other | CHAMPUS, DR. GREGG | |
| 023520 | Other | HI | HMSA, DR. KAPLAN |
National Provider Directory
National Provider DirectoryLocations
64-1032 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 885-1878
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Kamuela, HI
- NPI 1205328101
-
- Pediatric Nurse Practitioner
- Kamuela, HI
- NPI 1619278280
-
- Pediatric Nurse Practitioner
- Kamuela, HI
- NPI 1114383767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421884800000",
"number": "1699856286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6149",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967436149",
"telephone_number": "808-887-6543",
"fax_number": "808-887-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64-1032 MAMALAHOA HWY STE 204",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438441",
"telephone_number": "808-887-6543",
"fax_number": "808-887-6294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANIOLO COUNTRY PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2015-01-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "ROSS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "808-887-6543"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QHMS, DR. KAPLAN",
"identifier": "0000235200",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50529001",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50672701",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS, DR. KAPLAN",
"identifier": "A004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00226101",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA, DR. KAPLAN",
"identifier": "3573421",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA, DR. GREGG",
"identifier": "9587421",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QHMS, DR. LEE",
"identifier": "0000227603",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QHMS, DR. GREGG",
"identifier": "00A0211829",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS, DR. LEE",
"identifier": "A003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HSMA, DR. GREGG",
"identifier": "A21182",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA, DR. LEE",
"identifier": "022760",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA, DR. LEE",
"identifier": "2314421",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS, DR. GREGG",
"identifier": "A002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA, DR. KAPLAN",
"identifier": "023520",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
- Vanessa De Domenico Osedo-Bleecher, M.D.
- Scott Oshiro, ATC
- Barbara J Ota, L.AC.
- P. Joseph Sulla III, MFT, Csac
- Dara Pagaduan, FNP-C
- Paniolo Pediatric and Family Medicine Inc
- Paniolo Pediatrics LLC
- Russell Alan Parker, D.O.
- Peter a. in, M.D., Inc. (Waimea Community Counseling Clinic)
- Sharon Ann Petrosky, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.