Active NPI
Robert P. Young M.D., Inc
- Medical Specialty Clinic/Center
- Kailua Kona, HI
National Provider Identifier
1821298910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 2884
- Legal business name
- ROBERT P. YOUNG M.D., INC
- Practice address
- 75-167 Hualalai Rd
Kailua Kona, HI 96740-1714 - Phone
- (808) 329-2010
- NPI assigned
- Jul 18, 2007
- 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
- Dr. Robert Preston Young, M.D.
- Title
- President
- Phone
- (808) 329-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 2884 | HI | Primary |
Addresses
Primary practice location
75-167 Hualalai Rd
Kailua Kona, HI 96740-1714
Mailing address
75-167 Hualalai Rd
Kailua Kona, HI 96740-1714
Phone (808) 329-2010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03642002 | Medicaid | HI | |
| 03642001 | Medicaid | HI |
Other names 1
- The Eye Center of Hawaii
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1821298910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-167 HUALALAI RD",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401714",
"telephone_number": "808-329-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-167 HUALALAI RD",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401714",
"telephone_number": "808-329-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT P. YOUNG M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "PRESTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-329-2010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "HI",
"license": "2884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03642002",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03642001",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Eye Center of Hawaii",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.