William Scott Mandel, M.D.
Individual provider Active NPI General Practice Physician · Captain Cook, HI
NPI 1699873992 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1699873992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 3644 (HI)
- Practice address
- 82-6123 Mamalahoa Hwy
Top Floor
Captain Cook, HI 96704-8203 - Phone
- (808) 323-8200
- Fax
- (808) 323-8400
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3644 | HI | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 3644 | HI | Yes |
Addresses
Primary practice location
82-6123 Mamalahoa Hwy
Top Floor
Captain Cook, HI 96704-8203
Mailing address
PO Box 202
Captain Cook, HI 96704-0202
Phone (808) 323-8200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01159301 | Medicaid | HI | |
| C1212-4 | Other | HI | HMSA PROVIDER NUMBER |
Other names
- Scott Mandel
Other providers in Captain Cook, HI
- Kenneth Arthur Kotner
- Thomas Langenstein
- Christopher Leimbach
- Uala Lenta
- Leon Matsuo MD Inc
- Marianne Jones, LCSW
- Leon Matsuo
- Pauline Joan McGrath
- Heather Momi Nobriga
- Ohana Kauka, Inc.
All providers in Captain Cook, HI · General Practice Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.