DR. THOMAS W EDHOLM (NPI# 1285678953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285678953 |
| Entity Type | Individual |
| Full Name | DR. THOMAS W EDHOLM |
| Credential | M.D. |
| Practice Address |
Kona Community Hosptial 79-1019 Haukapila Street Kealakekua HI 96750-7920 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 8085479593 |
| Practice Fax Number | 8085992714 |
| Mailing Telephone | 5108517423 |
| Mailing Fax Number | 5108799120 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G80869 | CA | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD 13810 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
KONA COMMUNITY HOSPTIAL 79-1019 HAUKAPILA STREET |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750-7920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104841790 | Patrick K. Okamura | Emergency Medicine | 79-1019 Haukapila St, Kealakekua, HI 96750-7920 | 2006-07-13 |
| 1639113764 | Michael W. Beshoner | Emergency Medicine | 79-1019 Haukapila St, Kealakekua, HI 96750-7920 | 2006-06-16 |
| 1306896345 | Richard M Mcdowell | Emergency Medicine | 79-1019 Haukapila St, Kealakekua, HI 96750-7920 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559224 | Hawaii Emergency Air Lift | Emergency Medicine | 55 Merchant St Ste 600, Honolulu, HI 96813-4306 | 2020-05-13 |
| 1336179068 | Robert R. Watkins | Emergency Medicine | 54-383 Hospital Road, Kapaau, HI 96755-0010 | 2006-07-05 |
| 1982631735 | Joshua B. Green | Emergency Medicine | 54-383 Hospital Rd, Kapaau, HI 96755-0010 | 2006-06-27 |
| 1154393353 | Islands Emergency Medical Service Hawaii, LLC | Emergency Medicine | 347 North Kuakini Street, Honolulu, HI 96817-2306 | 2006-02-02 |
| 1467422378 | Mark Timothy Schmalz | Emergency Medicine | 59-477 Hoalike Rd, Haleiwa, HI 96712-9524 | 2006-01-24 |
| 1952615908 | Nikki Parvus | Emergency Medicine | 128 Lehua St, Wahiawa, HI 96786-2036 | 2010-08-02 |
| 1669678660 | Robert Watkins Emergency Group, LLC | Emergency Medicine | 54-383 Hospital Road, Kapaau, HI 96755 | 2007-06-26 |
| 1508073586 | Matthew C Davies | Emergency Medicine | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-05-17 |
| 1861519969 | Dana Michael Dafnis | Emergency Medicine | 888 S King St, Honolulu, HI 96813-3009 | 2007-03-23 |
| 1841336328 | Tammy D. Perkins | Emergency Medicine | 100 Keokea Pl, Kula, HI 96790-7450 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.