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MAIN STREET PEDIATRICS LLC
NPI 1821771353
Clinic/Center - Primary Care in Kamuela, HI

Active since August 10, 2023
64-1061 MAMALAHOA HWY APT 203, KAMUELA, HI 96743(808) 333-5855(808) 333-5855 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Pediatrics Llc NPPES

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

MAIN STREET PEDIATRICS LLC (NPI 1821771353) is a healthcare organization registered as a primary care in Kamuela, Hawaii and active in the NPI registry since August 2023. The organization lists Jana Mullen, Owner, as its authorized official.

NPPES Registry Identity

NPI1821771353
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAIN STREET PEDIATRICS LLC
Location Address64-1061 MAMALAHOA HWY APT 203Kamuela, HI 96743-8480
Mailing AddressPo Box 485Paauilo, HI 96776-0485
Phone(808) 333-5855
Fax(808) 333-5855
Organization SubpartNo
Authorized OfficialJana MullenOwner · (505) 690-3562
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1821771353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
64-1061 MAMALAHOA HWY APT 203, Kamuela, HI 96743
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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 Main Street Pediatrics LLC's NPI number?

The NPI number for Main Street Pediatrics LLC is 1821771353. It was assigned to this organization in the NPPES registry on August 10, 2023.

Where is Main Street Pediatrics LLC located?

Main Street Pediatrics LLC is located at 64-1061 Mamalahoa Hwy Apt 203, Kamuela, HI 96743. The listed phone number is (808) 333-5855.

What is Main Street Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Main Street Pediatrics LLC was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.