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NPI Code Detail

MEDICARE: NINETTE HART MD

MEDICARE: NINETTE HART MD
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
1207L00000XAnesthesiology PhysicianMD7064HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2C9252-2OTHERHIHMSA

General Provider Information

NPI Number : 1689672388
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINETTE HART MD
Provider Business Mailing Address
First Line : PO BOX 1840
Second Line :
City : KAILUA KONA
State : HI
Zip : 96745-1840
Country : US
Telephone Number : 808-325-6760
Fax Number : 808-443-0159
Provider Business Practice Location Address
First Line : 1190 WAIANUENUE AVE
Second Line :
City : HILO
State : HI
Zip : 96720-2020
Country : US
Telephone Number : 808-974-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/20/2007

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