Organization Active NPI

Lee a. Evslin, M.D. Inc

  • General Practice Physician
  • Kapaa, HI
National Provider Identifier
1033427331
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
3507 Issued in HI
Legal business name
LEE A. EVSLIN, M.D. INC
Practice address
4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone
(808) 822-4844
Fax
(808) 821-2922
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Lee A Evslin, M.D.
Title
President
Phone
(808) 822-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 3507 HI Primary

Addresses

Primary practice location

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856

Mailing address

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone (808) 822-4844

Other identifiers 1

IdentifierTypeStateIssuer
1447373865OtherHIINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

4-1558 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 822-4844

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1033427331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "808-822-4844",
            "fax_number": "808-821-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "808-822-4844",
            "fax_number": "808-821-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE A. EVSLIN, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "EVSLIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-822-4844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "3507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447373865",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.