Organization Active NPI

Ming Zu Jack Hsieh, MD, Inc

  • Specialist
  • Honolulu, HI
National Provider Identifier
1033328679
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD 10608 Issued in HI
Legal business name
MING ZU JACK HSIEH, MD, INC
Practice address
405 N Kuakini St
Suite 607
Honolulu, HI 96817-6300
Phone
(808) 599-8887
Fax
(808) 599-8879
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

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

Authorized official

Name
Jack MZ Hsieh, MDNPI 1922098110
Title
Medical Doctor
Phone
(808) 599-8887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD 10608 HI Primary

Addresses

Primary practice location

405 N Kuakini St
Suite 607
Honolulu, HI 96817-6300

Mailing address

405 N Kuakini St
Suite 607
Honolulu, HI 96817-6300
Phone (808) 599-8887

Other identifiers 2

IdentifierTypeStateIssuer
49346101MedicaidHI
49346102MedicaidHI

Other names 1

  • JACK MZ HSIEH, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001198 HI Part B Supplier - Clinic/Group Practice 2466343090 Receives reassigned benefits from 1 practitioner
Practice locations: Aiea, HI; Honolulu, HI; Waipahu, HI

National Provider Directory

National Provider Directory

Locations

98-1079 Moanalua Rd
Ste 300
Aiea, HI 96701
Phone (808) 484-2042

1401 S Beretania St
Ste 630
Honolulu, HI 96814
Phone (808) 599-8887

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295740800000",
    "number": "1033328679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-599-8887",
            "fax_number": "808-599-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-599-8887",
            "fax_number": "808-599-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MING ZU JACK HSIEH, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-01-23",
        "status": "A",
        "authorized_official_last_name": "HSIEH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "MZ",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "808-599-8887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD 10608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49346101",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49346102",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACK MZ HSIEH, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.