Logan D Fitzpatrick

Individual provider Active NPI Obstetrics & Gynecology Physician · Tripler AMC, HI

NPI 1013604974 · NPPES record last updated Apr 24, 2026

Key facts

NPI
1013604974
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
25799 (HI)
Practice address
1 Jarrett White Rd
Tripler AMC, HI 96859-5001
Phone
(888) 683-2778
NPI assigned
Apr 20, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25799HIMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25799 HI Yes

Addresses

Primary practice location

1 Jarrett White Rd
Tripler AMC, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler AMC, HI 96859-5001

Other practice location 1

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 265-9205

Other providers in Tripler AMC, HI

All providers in Tripler AMC, HI · Obstetrics & Gynecology Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.