NPIMap

Organization Active NPI

Hawaii Pacific Neuroscience LLC

  • Neurology Physician
  • Honolulu, HI
National Provider Identifier
1043442908
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD12149 Issued in HI
Legal business name
HAWAII PACIFIC NEUROSCIENCE LLC
Practice address
2230 Liliha St Ste 104
Honolulu, HI 96817-7357
Phone
(808) 261-4476
Fax
(808) 263-4476
NPI assigned
Aug 11, 2009
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Dr. Kore K Liow, MDNPI 1366445306
Title
Sole Owner
Phone
(808) 261-4476

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
Neurology Physician 2084N0400X MD12149 HI Primary

Addresses

Primary practice location

2230 Liliha St Ste 104
Honolulu, HI 96817-7357

Mailing address

2230 Liliha St Ste 104
Honolulu, HI 96817-7357
Phone (808) 261-4476

Other practice location 1

94-849 Lumiaina St Unit 204
Waipahu, HI 96797-5677
Phone (808) 261-4476

Other identifiers 2

IdentifierTypeStateIssuer
00A0288512OtherHIHMSA
637233MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100311000860 HI Part B Supplier - Clinic/Group Practice 8628113453 Receives reassigned benefits from 16 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2230 Liliha St
Ste 104
Honolulu, HI 96817
Phone (808) 261-4476

94-849 Lumiaina St
Unit 203
Waipahu, HI 96797
Phone (808) 261-4476

94-849 Lumiaina St
Unit 204
Waipahu, HI 96797
Phone (808) 261-4476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DADHAA

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1043442908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968177357",
            "telephone_number": "808-261-4476",
            "fax_number": "808-263-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968177357",
            "telephone_number": "808-261-4476",
            "fax_number": "808-263-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-849 Lumiaina St Unit 204",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967975677",
            "country_code": "US",
            "telephone_number": "808-261-4476",
            "fax_number": "808-263-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAWAII PACIFIC NEUROSCIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "LIOW",
        "authorized_official_first_name": "KORE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "808-261-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "MD12149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0288512",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "637233",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2022; 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.