Irina Crook MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11688 Issued in HI

Legal business name

IRINA CROOK MD LLC

Practice address

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993

Phone

(808) 678-7000

NPI assigned

Aug 23, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irina R Crook, MDNPI 1437190329

Title

Owner

Phone

(817) 637-9012

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina R. Crook, MD

  • Hospitalist Physician
  • Honolulu, HI
  • NPI 1437190329

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1982897740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250370",
            "telephone_number": "808-536-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2141 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061993",
            "telephone_number": "808-678-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA CROOK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-637-9012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "11688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581571",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ewa Beach, HI
• Providers in Ewa Beach, 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 Oct 11, 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.

Verify at the official NPI Registry.