What is Moon Park's NPI number?

Moon Park's National Provider Identifier (NPI) is 1104084912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Moon Park's specialty?

Moon Park is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Moon Park located?

Moon Park's practice location on file with NPPES is 33 Lanihuli St, Hilo, HI 96720-4142.

What is Moon Park's phone number?

The practice phone number listed in the NPPES registry for Moon Park is (808) 935-4814.

Is Moon Park's NPI active?

Yes — Moon Park's NPI (1104084912) is active in the NPPES registry as of the last update on 2008-05-29.

IndividualActive

Moon Park, M.D.

NPI 1104084912 · Specialist · Hilo, HI

Moon Park, M.D. is a Specialist provider in Hilo, HI (NPI 1104084912).

Provider details

NPI number: 1104084912
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 2093 (HI)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 2093 (HI)
Other Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

33 Lanihuli St

Hilo, HI 96720-4142

Phone: (808) 935-4814

Fax: (808) 935-2518

Street-level locationGet directions

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Mailing address