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NPI Code Detail

MEDICARE: DR. KATHERINE DIETRICH SCHMEICHEL D.O.

MEDICARE: DR. KATHERINE DIETRICH SCHMEICHEL D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician40873MT
2207R00000XInternal Medicine PhysicianDOS-2646HI
3207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianDOS-2646HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619188216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE DIETRICH SCHMEICHEL D.O.
Provider Business Mailing Address
First Line : 680 IWILEI RD STE 660
Second Line :
City : HONOLULU
State : HI
Zip : 96817-5392
Country : US
Telephone Number : 808-924-8255
Fax Number : 808-791-8049
Provider Business Practice Location Address
First Line : 680 IWILEI RD STE 660
Second Line :
City : HONOLULU
State : HI
Zip : 96817-5392
Country : US
Telephone Number : 808-383-3996
Fax Number : 808-791-8049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 04/20/2026

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