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SCOTT J. MISCOVICH MD, LLC
NPI 1073796868
Family Medicine in Kaneohe, HI

Active since December 14, 2007CLIA 12D1014638 · Microscopy
46-001 KAMEHAMEHA HWY STE 109, KANEOHE, HI 96744(808) 247-7596 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott J. Miscovich Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT J. MISCOVICH MD, LLC (NPI 1073796868) is a healthcare organization registered as a family medicine in Kaneohe, Hawaii and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through July 10, 2027 and lists Rene Noelle Mansanas, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1073796868
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCOTT J. MISCOVICH MD, LLC
Location Address46-001 KAMEHAMEHA HWY STE 109Kaneohe, HI 96744-3724
Mailing Address46-001 Kamehameha Hwy Ste 109Kaneohe, HI 96744-3724 · (808) 247-7596
Phone(808) 247-7596
Organization SubpartNo
Authorized OfficialRene Noelle MansanasExecutive Vice President · (808) 379-1515
Enumeration DateDecember 14, 2007
Last NPPES UpdateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1073796868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · MD6854
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
46-001 KAMEHAMEHA HWY STE 109, Kaneohe, HI 96744
Open in Google Maps ↗

Other Identifiers 2

Medicaid05672605HI
OtherT065197HI · Hmsa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D1014638

Scott J Miscovich, MD · Kaneohe, HI
Active · expires Jul 10, 2027
CLIA Number12D1014638
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorScott J. Miscovich, MD
Laboratory Phone(808) 247-7596
Laboratory LocationScott J Miscovich, MD46-001 Kamehameha Hwy Suite 109, Kaneohe, HI 96744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KAIPO KAIULU HAA LINDSEY PA-C
Physician Assistant
46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744
Honolulu County (808) 247-7596
MRS. DEVON WHITNEY DOLAN DPT
Physical Therapist
46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744
Honolulu County (808) 247-7596
SCOTT JOHN MISCOVICH M.D.
Family Medicine
46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744
Honolulu County (808) 247-7596
KENNETH EDWARDS PA-C
Physician Assistant
46-001 KAMEHAMEHA HWY STE 109
KANEOHE, HI 96744
Honolulu County (808) 247-7596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott J. Miscovich MD, LLC's NPI number?

The NPI number for Scott J. Miscovich MD, LLC is 1073796868. It was assigned to this organization in the NPPES registry on December 14, 2007.

Where is Scott J. Miscovich MD, LLC located?

Scott J. Miscovich MD, LLC is located at 46-001 Kamehameha Hwy Ste 109, Kaneohe, HI 96744. The listed phone number is (808) 247-7596.

What is Scott J. Miscovich MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Scott J. Miscovich MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D1014638) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott J. Miscovich MD, LLC was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.