Healthcare Provider Details

I. General information

NPI: 1770610875
Provider Name (Legal Business Name): JOY A MCELROY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77-311 SUNSET DR
KAILUA KONA HI
96740-9754
US

IV. Provider business mailing address

PO BOX 2508 77-6447 KUAKINI HWY
KAILUA KONA HI
96745-2508
US

V. Phone/Fax

Practice location:
  • Phone: 808-329-6355
  • Fax: 808-326-1549
Mailing address:
  • Phone: 808-329-6355
  • Fax: 808-326-1549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. LOI M CHANG STROMAN
Title or Position: OWNER
Credential: MD
Phone: 808-329-6355