Alan D Tice MD LCC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

11162 Issued in HI

Legal business name

ALAN D TICE MD LCC

Practice address

1286 Queen Emma St
Honolulu, HI 96813-2303

Phone

(808) 538-2882

Fax

(808) 537-4272

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Alan D Tice, MD

Title

Owner

Phone

(808) 341-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Leslie Diane Huddleston, PA-C

  • Medical Physician Assistant
  • Kailua, HI
  • NPI 1598929101
  NPD (past)
• Yang Kim, PA

  • Physician Assistant
  • Honolulu, HI
  • NPI 1407909518
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1043414675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700309",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967090309",
            "telephone_number": "808-203-7943",
            "fax_number": "808-693-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 QUEEN EMMA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132303",
            "telephone_number": "808-538-2882",
            "fax_number": "808-537-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D TICE MD LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-341-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "HI",
            "license": "11162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50586006",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia S Alailima, M.D.
• Alaka'I I Ke Ola
• Alaka'I NA Keiki, Inc.
• Alakai NA Keiki
• Kathryn Jack Alamea-Xian
• Alan G Britten MD Inc
• Alan K. Yoshida DDS., Inc.
• Alan T. Suyama, MD, Inc.
• Alan Wolfson MD LLC
• Angelight Badongen Alan

• Infectious Disease Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Infectious Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.