Provider Demographics
NPI:1568781623
Name:JAMES D. GREIG, M.D. INC.
Entity Type:Organization
Organization Name:JAMES D. GREIG, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GREIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-533-4544
Mailing Address - Street 1:321 N KUAKINI ST STE 814
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2362
Mailing Address - Country:US
Mailing Address - Phone:808-533-4544
Mailing Address - Fax:808-532-6766
Practice Address - Street 1:321 N KUAKINI ST STE 814
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2362
Practice Address - Country:US
Practice Address - Phone:808-533-4544
Practice Address - Fax:808-532-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD50362086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI17622OtherHMSA
HI01646601Medicaid
HIMD5036OtherMDX
HIMD5036OtherMDX
HIC97750Medicare UPIN