Active NPI
McGill Healthcare LLC
- Nurse Practitioner
- Koloa, HI
National Provider Identifier
1760120315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MCGILL HEALTHCARE LLC
- Practice address
- 5418 Nakoa St
Koloa, HI 96756 - Phone
- (808) 743-7473
- NPI assigned
- May 24, 2022
- Last updated
- Jul 24, 2024
- 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
- Mr. Dennis McGill, APRN
- Title
- President
- Phone
- (808) 743-7473
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary | |
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
5418 Nakoa St
Koloa, HI 96756
Mailing address
5418 Nakoa St
PO Box 1436
Koloa, HI 96756
Phone (808) 742-9140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3010790 | Other | KY | KENTUCKY BON |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mcgillhealthcarellc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nurse Practitioner
- Koloa, HI
- NPI 1154863496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1760120315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5418 NAKOA ST",
"address_2": "PO BOX 1436",
"city": "KOLOA",
"state": "HI",
"postal_code": "96756",
"telephone_number": "808-742-9140",
"fax_number": "808-207-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5418 NAKOA ST",
"city": "KOLOA",
"state": "HI",
"postal_code": "96756",
"telephone_number": "808-743-7473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGILL HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "MCGILL",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-743-7473",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BON",
"identifier": "3010790",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mcgillhealthcarellc.com",
"affiliation": "N",
"address_1": "5418 Nakoa St",
"city": "Koloa",
"state": "HI",
"country_code": "US",
"postal_code": "96756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Koloa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.