Provider Demographics
NPI:1326438052
Name:YAGER, ALEXA ANN (DO)
Entity type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:ANN
Last Name:YAGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ALEXA
Other - Middle Name:ANN
Other - Last Name:DIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:221 MAHALANI ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2526
Mailing Address - Country:US
Mailing Address - Phone:808-244-9056
Mailing Address - Fax:808-242-2465
Practice Address - Street 1:221 MAHALANI ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2526
Practice Address - Country:US
Practice Address - Phone:808-244-9056
Practice Address - Fax:808-242-2465
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60846428207P00000X
FLOS19314207P00000X
FLUO 4288207P00000X
HIDOS-2768207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty