Provider Demographics
NPI:1194433912
Name:JOSEPH WARD MD LLC
Entity type:Organization
Organization Name:JOSEPH WARD MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAINOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-722-2181
Mailing Address - Street 1:45-710 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2947
Mailing Address - Country:US
Mailing Address - Phone:808-247-6644
Mailing Address - Fax:808-235-2566
Practice Address - Street 1:45-710 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2947
Practice Address - Country:US
Practice Address - Phone:808-247-6644
Practice Address - Fax:808-235-2566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty