1659772762 NPI number — BIG ISLAND UROLOGY & ANDROLOGY

Table of content: (NPI 1659772762)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659772762 NPI number — BIG ISLAND UROLOGY & ANDROLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIG ISLAND UROLOGY & ANDROLOGY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659772762
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75-184 HUALALAI RD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KAILUA KONA
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96740-1719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-238-0412
Provider Business Mailing Address Fax Number:
808-238-0427

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
75-184 HUALALAI RD STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAILUA KONA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96740-1719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-238-0412
Provider Business Practice Location Address Fax Number:
808-238-0427
Provider Enumeration Date:
09/08/2014

Additional Information

Authorized Official

Authorized Official Last Name:
SNYDER
Authorized Official First Name:
BEONKA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
808-238-0412

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  MD-14791 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com