Individual
TIMOTHY OLDFATHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 PUUHONU PL, SUITE 202, HILO, HI 96720-2010
(808) 933-3040
(808) 933-3075
Mailing address
82 PUUHONU PL, SUITE 202, HILO, HI 96720-2010
(808) 933-3040
(808) 933-3075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD3343
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03925801
—
HI
01
—
C43079
HMSA PROVIDER NUMBER
HI
Enumeration date
07/19/2005
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us