MEDICARE: DR. JOSHUA PIERCE M.D.

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
1	208600000X	Surgery Physician	MD12741	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0000247080	OTHER	HI	HMSA BCBS

General Provider Information

NPI Number	:	1972692929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA PIERCE M.D.

Provider Business Mailing Address
First Line	:	73 PUUHONU PL
Second Line	:
City	:	HILO
State	:	HI
Zip	:	96720-2060
Country	:	US
Telephone Number	:	808-934-2009
Fax Number	:	808-934-2041

Provider Business Practice Location Address
First Line	:	134 PUUHONU WAY APT B
Second Line	:
City	:	HILO
State	:	HI
Zip	:	96720-2066
Country	:	US
Telephone Number	:	808-961-0655
Fax Number	:	808-935-0904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	12/11/2007

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