Island Dermatology LLC
NPI 1497226054ActiveOrganization· Dermatology· Kailua Kona, HI
Dermatology in Kailua Kona, Hawaii, registered in NPPES in December 2018. The authorized official on file is Shellie R. Norman, APRN, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497226054 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2018 |
| Last updated in NPPES | Dec 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (HI) |
|---|
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