Organization Active NPI

Lorraine Sonoda-Fogel MD Inc.

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1730369497
Registry record updated Nov 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7388 Issued in HI
Legal business name
LORRAINE SONODA-FOGEL MD INC.
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2020
Phone
(808) 974-4700
NPI assigned
Nov 10, 2007
Last updated
Nov 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lorraine Sonoda-Fogel, M.D.NPI 1326065129
Title
Owner
Phone
(808) 286-3484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7388 HI Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2020

Mailing address

1393 Wailuku Dr
Hilo, HI 96720-1217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000071 HI Part B Supplier - Clinic/Group Practice 5496837486 Receives reassigned benefits from 1 practitioner
Practice locations: Kamuela, HI

National Provider Directory

National Provider Directory
Tax ID family
Lorraine Sonoda-Fogel MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

65-1230 Mamalahoa Hwy
Ste A10
Kamuela, HI 96743
Phone (808) 885-0660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194652800000",
    "number": "1730369497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 WAILUKU DR",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-974-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE SONODA-FOGEL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-10",
        "last_updated": "2007-11-10",
        "status": "A",
        "authorized_official_last_name": "SONODA-FOGEL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-286-3484",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "7388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.