| Dr Thomas W Edholm, MD | |
|
Kona Community Hosptial, 79-1019 Haukapila Street, Kealakekua, HI 96750-7920 | |
| (808) 547-9593 | |
| (808) 599-2714 |
| Full Name | Dr Thomas W Edholm |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | Kona Community Hosptial, Kealakekua, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285678953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD 13810 (Hawaii) | Primary |
| 207P00000X | Emergency Medicine | G80869 (California) | Secondary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Mayers Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912125667 PECOS PAC ID: 6305804196 Enrollment ID: O20041227000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas W Edholm, MD 2100 Powell St, Ste 900, Emeryville, CA 94608-1844 Ph: (510) 851-7423 | Dr Thomas W Edholm, MD Kona Community Hosptial, 79-1019 Haukapila Street, Kealakekua, HI 96750-7920 Ph: (808) 547-9593 |
Dr. Patrick K. Okamura, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 79-1019 Haukapila St, Kealakekua, HI 96750 Phone: 808-547-9593 Fax: 808-599-2714 | |
Robert Jonathon York, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 79-1019 Haukapila St, Kealakekua, HI 96750 Phone: 808-322-9311 | |
Dr. Richard M Mcdowell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 79-1019 Haukapila St, Kealakekua, HI 96750 Phone: 808-322-4413 | |
Dr. Michael W. Beshoner, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 79-1019 Haukapila St, Kealakekua, HI 96750 Phone: 808-547-9593 Fax: 808-599-2714 | |
Jeffrey Todd Gerton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 79-1019 Haukapila St, Emergency Department, Kealakekua, HI 96750 Phone: 808-322-4413 | |
Dr. Jody K Wozniak, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 79-1019 Haekapila Street, Kona Community Hospital, Kealakekua, HI 96750 Phone: 808-322-4413 |