Organization Active NPI

Jeffrey M Drood MD LLC

  • Clinical Cardiac Electrophysiology Physician
  • Wailuku, HI
National Provider Identifier
1770615346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
20130329 Issued in HI
Legal business name
JEFFREY M DROOD MD LLC
Practice address
1962 E Vineyard St
Wailuku, HI 96793-1715
Phone
(808) 244-3278
Fax
(808) 244-3225
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey M Drood, MD
Title
Owner and Member
Phone
(808) 244-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X 20130329 HI Primary

Addresses

Primary practice location

1962 E Vineyard St
Wailuku, HI 96793-1715

Mailing address

1962 E Vineyard St
Wailuku, HI 96793-1715
Phone (808) 244-3278

Other identifiers 1

IdentifierTypeStateIssuer
25293302MedicaidHI

National Provider Directory

National Provider Directory

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770615346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 E VINEYARD ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931715",
            "telephone_number": "808-244-3278",
            "fax_number": "808-244-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 E VINEYARD ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931715",
            "telephone_number": "808-244-3278",
            "fax_number": "808-244-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M DROOD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DROOD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND MEMBER",
        "authorized_official_telephone_number": "808-244-3278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "HI",
            "license": "20130329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25293302",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.