| Pono Medicine | |
|
75-809 Keaolani Dr Kailua Kona HI 96740-8815 | |
| (808) 987-6465 | |
| (877) 296-6734 |
| Full Name | Pono Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 75-809 Keaolani Dr, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Norman L Goody (OWNER/PRESIDENT) |
| Authorized Official Contact | 8089876465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pono Medicine 75-809 Keaolani Dr Kailua Kona HI 96740-8815 Ph: (808) 987-6465 | Pono Medicine 75-809 Keaolani Dr Kailua Kona HI 96740-8815 Ph: (808) 987-6465 |
| NPI Number | 1336761246 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 1658792916 |
|---|---|
| Medicare Enrollment ID | O20200522001616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336761246 | NPI | - | NPPES |
| Provider Name | Norman Goody |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871765925 PECOS PAC ID: 0244121150 Enrollment ID: I20060103000694 |
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