Organization Active NPI

Meredith KL Pang, M.D., Inc

  • Otolaryngology Physician
  • Honolulu, HI
National Provider Identifier
1053654152
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1966 Issued in HI
Legal business name
MEREDITH KL PANG, M.D., INC
Practice address
1834 Nuuanu Ave
Honolulu, HI 96817-2427
Phone
(808) 537-2932
Fax
(808) 537-2933
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Meredith PangNPI 1477585784
Title
President
Phone
(808) 537-2932

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 1966 HI Primary

Addresses

Primary practice location

1834 Nuuanu Ave
Honolulu, HI 96817-2427

Mailing address

1834 Nuuanu Ave
Honolulu, HI 96817-2427
Phone (808) 537-2932

Other identifiers 1

IdentifierTypeStateIssuer
036563-01MedicaidHI

National Provider Directory

National Provider Directory

Locations

1834 Nuuanu Ave
Honolulu, HI 96817
Phone (808) 537-2932

1834 Nuuanu Ave
Ste 105
Honolulu, HI 96817
Phone (808) 537-2932

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1053654152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172427",
            "telephone_number": "808-537-2932",
            "fax_number": "808-537-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172427",
            "telephone_number": "808-537-2932",
            "fax_number": "808-537-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH KL PANG, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-537-2932",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036563-01",
            "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 Mar 27, 2013; 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.