Individual provider Active NPI

Stephen A Warsh, M.D.

  • General Practice Physician
  • Hilo, HI
National Provider Identifier
1801858295
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD-8205 Issued in HI
Practice address
45 Mohouli St
Hilo, HI 96720-4145
Phone
(808) 969-3051
Fax
(808) 969-3728
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD-8205 HI Primary

Addresses

Primary practice location

45 Mohouli St
Hilo, HI 96720-4145

Mailing address

PO Box 857
Hilo, HI 96721-0857
Phone (808) 969-3051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000626 HI Practitioner - Family PracticePractitioner - General Practice 4183626013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Urgent Care Center LLCGroup PAC ID 7214825231, 7 clinicians

Practice addresses (Care Compare)

670 Kekuanaoa St
Hilo, HI 96720-4405
Phone (808) 969-3051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-8205HIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Urgent Care Center, LLC CurrentSince Jun 1, 2008 Accepting new patients

Locations

45 Mohouli St
Hilo, HI 96720
Phone (808) 961-2609

670 Kekuanaoa St
Hilo, HI 96720
Phone (808) 961-2609

16-590 Old Volcano Rd
Keaau, HI 96749
Phone (808) 966-7942

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1801858295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967210857",
            "telephone_number": "808-969-3051",
            "fax_number": "808-969-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204145",
            "telephone_number": "808-969-3051",
            "fax_number": "808-969-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSH",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD-8205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.