Provider Demographics
NPI:1336211952
Name:MCELROY, JOY A (MD)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:A
Last Name:MCELROY
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 2508
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-2508
Mailing Address - Country:US
Mailing Address - Phone:808-329-6355
Mailing Address - Fax:808-326-1549
Practice Address - Street 1:77-311 SUNSET DR
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-9754
Practice Address - Country:US
Practice Address - Phone:808-329-6355
Practice Address - Fax:808-326-1549
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8319207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B90023OtherHMSA
F67394Medicare UPIN
0000BFBMBMedicare ID - Type Unspecified