Active NPI
John M Dawson, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Kamuela, HI
National Provider Identifier
1932291978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 2809
- Practice address
- 67-1123 Mamalahoa Hwy
Suite 128
Kamuela, HI 96743-8451 - Phone
- (808) 885-0342
- Fax
- (808) 885-1795
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 2809 | HI | Primary |
Addresses
Primary practice location
67-1123 Mamalahoa Hwy
Suite 128
Kamuela, HI 96743-8451
Mailing address
67-1123 Mamalahoa Hwy
Suite 128
Kamuela, HI 96743-8451
Phone (808) 885-0342
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000043299 | Other | HI | HMSA |
| 03948901 | Medicaid | HI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090914000683 | HI | Practitioner - Internal Medicine | 1557354537 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2809 | HI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamakua Health Center, Inc. | Current | Accepting new patients | |
| Hamakua Health Center, Inc. | Current | Accepting new patients |
Locations
45-549 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7204
67-1123 Mamalahoa Hwy
Ste 134
Kamuela, HI 96743
Phone (808) 775-7204
Interoperability endpoints
- john.dawson@hawaiihie.medicity.net
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Kamuela, HI
- NPI 1164001954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1932291978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67-1123 MAMALAHOA HWY",
"address_2": "SUITE 128",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438451",
"telephone_number": "808-885-0342",
"fax_number": "808-885-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67-1123 MAMALAHOA HWY",
"address_2": "SUITE 128",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438451",
"telephone_number": "808-885-0342",
"fax_number": "808-885-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "HI",
"license": "2809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000043299",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03948901",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kamuela, HI
- Carly Kaleo Correa, APRN-RX
- Caroline Culverhouse, MSS, LCSW, E-RYT
- Michelle Darby
- David T. Doi, D.D.S., Inc
- Elizabeth Davis
- Jacqueline Lynette De la Garza, FNP-C
- Melissa De Vico
- Ronnijean Lehuanani Delenia, PHARMD
- Katelyn Delos Santos
- Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.