Organization Active NPI

Okahara & Olsen M.D.,Inc.

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1942409040
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10628 Issued in HI
Legal business name
OKAHARA & OLSEN M.D.,INC.
Practice address
670 Ponahawai St
Suite 208
Hilo, HI 96720-2660
Phone
(808) 935-2112
Fax
(808) 935-2110
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Kara Mitsuyo Okahara, M.D.NPI 1417091893
Title
Vice President
Phone
(808) 935-2112

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 10628 HI Primary

Addresses

Primary practice location

670 Ponahawai St
Suite 208
Hilo, HI 96720-2660

Mailing address

670 Ponahawai St
Suite 208
Hilo, HI 96720-2660
Phone (808) 935-2112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000762 HI Part B Supplier - Clinic/Group Practice 3577451798 Receives reassigned benefits from 2 practitioners
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

670 Ponahawai St
Ste 208
Hilo, HI 96720
Phone (808) 935-2112

Practitioners & affiliated clinicians

Practitioners 4

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1942409040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST",
            "address_2": "SUITE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-935-2112",
            "fax_number": "808-935-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST",
            "address_2": "SUITE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-935-2112",
            "fax_number": "808-935-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKAHARA & OLSEN M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "OKAHARA",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "MITSUYO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-935-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "10628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.