Provider Demographics
NPI:1811088065
Name:FERRI, MARK J (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:FERRI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:122 ONEAWA ST
Mailing Address - Street 2:101
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2524
Mailing Address - Country:US
Mailing Address - Phone:808-263-4263
Mailing Address - Fax:
Practice Address - Street 1:122 ONEAWA ST
Practice Address - Street 2:101
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2524
Practice Address - Country:US
Practice Address - Phone:808-263-4263
Practice Address - Fax:808-263-4263
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-02-10
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Provider Licenses
StateLicense IDTaxonomies
HI965207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000238238OtherBLUE CROSS BLUE SHEILD
HI841604196OtherSUMMERLIN
841604196OtherAARP
HIHMAAOther841604196
HI841604196OtherUNIVERSITY HEALTH ALLIANCE
HI841604196OtherKAISER
HI841604196OtherTRIWEST
HI841604196OtherHMAA
HI841604196OtherHMA, INC
HI0187272OtherDEPT OF LABOR
HIHMAAOther841604196
HI55337Medicare PIN