Paniolo Pediatrics LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD16732 Issued in HI

Legal business name

PANIOLO PEDIATRICS LLC

Practice address

64-1032 Mamalahoa Hwy Ste 204
Kamuela, HI 96743-8441

Phone

(808) 887-6543

Fax

(808) 887-6294

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brett Colin Ferguson, MD

Title

Sole Member

Phone

(808) 887-6543

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Leigh Deuchler, NP

  • Family Nurse Practitioner
  • Kamuela, HI
  • NPI 1205328101
  NPD

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1790162980",
    "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"
        },
        {
            "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 PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "808-887-6543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "MD16732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Ota, L.AC.
• P. Joseph Sulla III, MFT, Csac
• Dara Pagaduan, FNP-C
• Paniolo Country Pediatrics LLC
• Paniolo Pediatric and Family Medicine Inc
• Russell Alan Parker, D.O.
• Peter a. in, M.D., Inc. (Waimea Community Counseling Clinic)
• Sharon Ann Petrosky, LMHC
• Mark A. Pithan, M.D.
• Shaden Powell, M.ED

• Primary Care Clinic/Center in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.