Provider Demographics
NPI:1770610875
Name:JOY A MCELROY MD INC
Entity type:Organization
Organization Name:JOY A MCELROY MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOI
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHANG STROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-329-6355
Mailing Address - Street 1:PO BOX 2508
Mailing Address - Street 2:77-6447 KUAKINI HWY
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00678OtherEDI
HI00678OtherEDI