Provider Demographics
NPI:1124021878
Name:VERNOY, TERRY A (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:A
Last Name:VERNOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:STE 206
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2411
Mailing Address - Country:US
Mailing Address - Phone:808-550-4924
Mailing Address - Fax:808-533-1448
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:STE 206
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2411
Practice Address - Country:US
Practice Address - Phone:808-550-4924
Practice Address - Fax:808-533-1448
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD5263207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIMD5263OtherMISCELLANEOUS
HI00L0019749OtherHMSA
HI201536400OtherFECA OWCP
HI00K0019741OtherHMSA
HINABP 0019741OtherACS PAPER CLAIMS
HI018402Medicaid
HIH0000BDSTRMedicare ID - Type Unspecified
HI00L0019749OtherHMSA