SHEAREEN GEDAYLOO MD LLC (NPI# 1962853317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962853317 |
Entity Type | Organization |
Organization Name | SHEAREEN GEDAYLOO MD LLC |
Practice Address |
1028 Kinoole St Ste 101 Hilo HI 96720-3800 |
Mailing Address |
Po Box 1157 Hilo HI 96721-1157 |
Practice Telephone | 8089351193 |
Practice Fax Number | 8089691224 |
Mailing Telephone | 8089351193 |
Mailing Fax Number | 8089691224 |
Enumeration Date | 2016-06-27 |
Last Update Date | 2017-12-28 |
Authorized Official Name | SHEAREEN GEDAYLOO (ONWER/MD) |
Authorized Official Telephone | 8089351193 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
13705 | HI | Ambulatory Health Care Facilities |
Street Address |
1028 KINOOLE ST STE 101 |
City | HILO |
State | HI |
Zip Code | 96720-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
Find all providers in zip 96720 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013205624 | Susan M.s. Cauley, M.d., Inc. | Clinic/Center | 43 E Lanikaula St, Hilo, HI 96720-4301 | 2011-07-16 |
1558803668 | Sunshine Pediatric Clinic | Clinic/Center | 199 Ululani St, Hilo, HI 96720-2930 | 2016-11-07 |
1023368610 | Carlos R. Abeyta Md, LLC | Clinic/Center | 82 Puuhonu Pl, Suite 206, Hilo, HI 96720-2010 | 2012-09-12 |
1447450077 | Aloha Nui Family Practice, LLC | Clinic/Center | 69 Lanihuli St, Hilo, HI 96720-4142 | 2007-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700498680 | Blane K. Chong, Md Sports Medicine and Family Practice | Clinic/Center | 3221 Waialae Ave Ste 390, Honolulu, HI 96816-5850 | 2020-08-20 |
1497371348 | Vinson K Diep Md Inc | Clinic/Center | 1319 Punahou St Ste 1190, Honolulu, HI 96826-1089 | 2020-06-16 |
1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
1093348161 | Amh Series II, Hi, LLC | Clinic/Center | 415 Uluniu St Ste D, Kailua, HI 96734-2503 | 2020-02-18 |
1417592254 | Nancy S. Clarke, M.d. LLC | Clinic/Center | 98-211 Pali Momi St Ste 800, Aiea, HI 96701-4370 | 2019-11-15 |
1972071538 | Foundaton Research | Clinic/Center | 1314 S King St Ste 653, Honolulu, HI 96814-1979 | 2018-11-12 |
1962929398 | Mark T. Kuge,md,inc | Clinic/Center | 1481 S King St Ste 310, Honolulu, HI 96814-2684 | 2017-08-25 |
1346784139 | East Maui Medical Clinic, LLP | Clinic/Center | 4950 Uakea Road, Unit 2, Hana, HI 96713-0278 | 2016-12-13 |
1487102877 | Ka Wai Ola Medical Clinic LLC | Clinic/Center | 16-590 Old Volcano Rd, Ste. A, Keaau, HI 96749-8158 | 2016-09-14 |
1790230480 | Emi Ota, M.d., Inc. | Clinic/Center | 850 W Hind Dr Ste 205, Honolulu, HI 96821-1845 | 2016-08-23 |
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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.