Active NPI
Ronald Walter Sowa, MD
- Military Health Care Provider
- Wailuku, HI
National Provider Identifier
1871785295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 1370 Hiahia St
Wailuku, HI 96793-9700 - Phone
- (808) 268-0136
- NPI assigned
- Aug 10, 2007
- Last updated
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | NU | Primary |
Addresses
Primary practice location
1370 Hiahia St
Wailuku, HI 96793-9700
Mailing address
1370 Hiahia St
Wailuku, HI 96793-9700
Phone (808) 268-0136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1871785295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 HIAHIA ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967939700",
"telephone_number": "808-268-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 HIAHIA ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967939700",
"telephone_number": "808-268-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWA",
"first_name": "RONALD",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.