Medical Diagnostic Partners LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MEDICAL DIAGNOSTIC PARTNERS LLC

Practice address

1712 Liliha St
Suite 201
Honolulu, HI 96817-5410

Phone

(808) 531-2200

Fax

(808) 531-2202

NPI assigned

Jan 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wendell Pang

Title

Vice President

Phone

(808) 585-7293

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Choon Kia Yeo, MD, Inc.

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1376880526

  Member Of

  NPD member
• Peter J Dee MD Inc

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1396946067

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neal J Shikuma, M.D., FACC

  • Cardiovascular Disease Physician
  • Kamuela, HI
  • NPI 1538160866
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1003965476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 NUUANU AVE",
            "address_2": "SUITE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172427",
            "telephone_number": "808-585-7293",
            "fax_number": "808-585-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-531-2200",
            "fax_number": "808-531-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-585-7293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579253",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "243733",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn C Medeiros, R.N.
• Arlyn Medendorp, RN
• Medical Anesthesia, Inc.
• Medical Associates LTD
• Medical Associates, LTD
• Medical Housecalls Hawaii
• Medical Imaging Inc
• Medical Specialists of Hawaii LLC
• Medical Specialists of Hawaii, LLC
• Medicine Pediatrics Associates, LLC

• Contractor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Contractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.