Provider Demographics
NPI:1326113283
Name:AMY B. HARPSTRITE, M.D., LLC
Entity Type:Organization
Organization Name:AMY B. HARPSTRITE, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARPSTRITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-263-7340
Mailing Address - Street 1:642 ULUKAHIKI ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4400
Mailing Address - Country:US
Mailing Address - Phone:808-263-7340
Mailing Address - Fax:808-263-7339
Practice Address - Street 1:642 ULUKAHIKI ST
Practice Address - Street 2:SUITE 205
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4400
Practice Address - Country:US
Practice Address - Phone:808-263-7340
Practice Address - Fax:808-263-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI530263Medicaid
HI57562Medicare ID - Type UnspecifiedMEDICARE GRP #