Provider Demographics
NPI:1821075284
Name:BINTLIFF, SHARON J (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:J
Last Name:BINTLIFF
Suffix:
Gender:F
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:PO BOX 6450
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743
Mailing Address - Country:US
Mailing Address - Phone:808-882-1177
Mailing Address - Fax:808-882-1505
Practice Address - Street 1:45-549 PLUMERIA ST
Practice Address - Street 2:HAMAKUA HEALTH CENTER INC
Practice Address - City:HONOKAA
Practice Address - State:HI
Practice Address - Zip Code:96727-6902
Practice Address - Country:US
Practice Address - Phone:808-775-7204
Practice Address - Fax:808-775-9404
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD1559207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
121813OtherMEDICARE FOHC
HI51864901Medicaid
A51348Medicare UPIN
HI51864901Medicaid