Northsyracusewalkinmedicalcarepc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

NORTHSYRACUSEWALKINMEDICALCAREPC

Practice address

86-260 Farrington Hwy
Waianae, HI 96792-3128

Phone

(315) 751-7747

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo A Tan

Title

MD

Phone

(315) 751-7747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WaianaeCoast Comprehensive Health Center Doing business as

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1043364318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "315-751-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "315-751-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSYRACUSEWALKINMEDICALCAREPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-751-7747",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL LICENSE",
            "identifier": "MD-23655",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WaianaeCoast Comprehensive Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samina Nguyen, DDS
• Diane Marie Nichols, RN
• Eric C. Nino, M.D.
• Nishioka DMD LLC
• Todd Brandon Nitta, RPH
• Helen Lilia O'Connor, C.H.W, L.M.T
• Paul Colm O'Hara, M.D.
• Oahu Behavioral Health Corporation
• Jonlee Odani
• Ellen So Yong Oh

• Emergency Medicine Physician in Waianae, HI
• Providers in Waianae, HI by specialty
• Emergency Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.