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MAUNA KEA MEDICAL LLC
NPI 1871091801
Internal Medicine in Kamuela, HI

Active since January 24, 2018
64-1035 MAMALAHOA HWY STE K, KAMUELA, HI 96743(808) 883-9785(808) 883-9683 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mauna Kea Medical Llc NPPES

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

MAUNA KEA MEDICAL LLC (NPI 1871091801) is a healthcare organization registered as an internal medicine in Kamuela, Hawaii and active in the NPI registry since January 2018. The organization lists John Douglas Stover, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1871091801
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAUNA KEA MEDICAL LLC
Location Address64-1035 MAMALAHOA HWY STE KKamuela, HI 96743-8440
Mailing Address64-1035 Mamalahoa Hwy Ste KKamuela, HI 96743-8440 · (808) 883-9785 · Fax (808) 883-9683
Phone(808) 883-9785
Fax(808) 883-9683
Organization SubpartNo
Authorized OfficialJohn Douglas StoverDelegated Official · (808) 960-5412
Enumeration DateJanuary 24, 2018
✔ NPI 1871091801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · 18437
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
64-1035 MAMALAHOA HWY STE K, Kamuela, HI 96743
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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

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.

ALOHAENT, LLC
Otolaryngology
64-1035 MAMALAHOA HWY STE K
KAMUELA, HI 96743
Hawaii County (808) 887-0706
WILLIAM S. LAWRENCE M.D.
Internal Medicine
64-1035 MAMALAHOA HWY STE K
KAMUELA, HI 96743
Hawaii County (808) 883-9785
MIKI N GRIMES NP
Nurse Practitioner (Women's Health)
64-1035 MAMALAHOA HWY STE K
KAMUELA, HI 96743
Hawaii County (808) 885-9647
DR. VANESSA DE DOMENICO OSEDO-BLEECHER M.D.
Internal Medicine
64-1035 MAMALAHOA HWY STE K
KAMUELA, HI 96743
Hawaii County (808) 885-4507

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 Mauna Kea Medical LLC's NPI number?

The NPI number for Mauna Kea Medical LLC is 1871091801. It was assigned to this organization in the NPPES registry on January 24, 2018.

Where is Mauna Kea Medical LLC located?

Mauna Kea Medical LLC is located at 64-1035 Mamalahoa Hwy Ste K, Kamuela, HI 96743. The listed phone number is (808) 883-9785.

What is Mauna Kea Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mauna Kea Medical LLC was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.