Deborah A. Buccigrossi, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Honolulu, HI
NPI 1033219977 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1033219977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD-5618 (HI)
- Practice address
- 1010 Pensacola St
Honolulu, HI 96814-2118 - Phone
- (808) 432-2000
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-5618 | HI | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD-5618 | HI | Yes |
Addresses
Primary practice location
1010 Pensacola St
Honolulu, HI 96814-2118
Mailing address
1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000024745 | Other | HI | HMSA BILLING NUMBER |
| 022373-02 | Medicaid | HI |
Other providers in Honolulu, HI
- Mark Kevin Bryant
- Brysa Kato MD LLC
- Sara Bryson
- Janelle G Buan
- Nora A Buccat
- Pamela Donna Buchanan
- Brian R Buchner
- Kelci Buck
- Jennifer Lynn Buckendorf
- Chloe Buckley
All providers in Honolulu, HI · Obstetrics & Gynecology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.