Joseph Ryan Madamba MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD15622 Issued in HI

Legal business name

JOSEPH RYAN MADAMBA MD, INC

Practice address

1712 Liliha St
Ste. 203
Honolulu, HI 96817-5410

Phone

(808) 585-6094

Fax

(808) 537-4139

NPI assigned

Dec 11, 2010

Organization subpart

No

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

Authorized official

Name

Joseph Ryan Mateo Madamba, M.D.NPI 1902093305

Title

President

Phone

(808) 585-6094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: joseph.madamba@hawaiihie.medicity.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Ryan Mateo Madamba, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1902093305
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1952604084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "STE. 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-585-6094",
            "fax_number": "808-537-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "STE. 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-585-6094",
            "fax_number": "808-537-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH RYAN MADAMBA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-11",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MADAMBA",
        "authorized_official_first_name": "JOSEPH RYAN",
        "authorized_official_middle_name": "MATEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-585-6094",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD15622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna Rece Jose
• Christine Marie Jose, M.D.
• Denisse Jose
• Joseph K Koo MD
• Joseph R McKinlay MD LLC
• Joseph Svec, Psy.D., LLC
• Edward Macintyre Joseph Jr., LMT
• Rejil Joseph
• Josephine P Quensell MD LLC
• Josephine P. Horita, D.O. LLC

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.