Organization Active NPI

Donna Jean Mah MD Inc

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1790840718
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD 7068 Issued in HI
Legal business name
DONNA JEAN MAH MD INC
Practice address
1314 S King St
Suite 414
Honolulu, HI 96814
Phone
(808) 593-8686
Fax
(808) 597-1288
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Dr. Donna Jean Mah, MDNPI 1760502645
Title
President
Phone
(808) 593-8686

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MD 1003 HI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MD 7068 HI Primary

Addresses

Primary practice location

1314 S King St
Suite 414
Honolulu, HI 96814

Mailing address

1314 S King St
Suite 414
Honolulu, HI 96814
Phone (808) 593-8686

Other identifiers 2

IdentifierTypeStateIssuer
00694001MedicaidHI
05968501MedicaidHI

National Provider Directory

National Provider Directory

Locations

1314 S King St
Ste 414
Honolulu, HI 96814
Phone (808) 593-8686

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9142/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1790840718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 414",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-593-8686",
            "fax_number": "808-597-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 414",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-593-8686",
            "fax_number": "808-597-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA JEAN MAH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-593-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD 1003",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD 7068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00694001",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05968501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.