Active NPI
George Shimomura MD Inc
- Gynecology Physician
- Aiea, HI
National Provider Identifier
1073733176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD1578
- Legal business name
- GEORGE SHIMOMURA MD INC
- Practice address
- 99-128 Aiea Heights Drive
Suite 504
Aiea, HI 96701-3938 - Phone
- (808) 487-2497
- Fax
- (808) 487-2494
- NPI assigned
- Apr 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Shimomura, MD
- Title
- President
- Phone
- (808) 487-2497
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD1578 | Primary |
Addresses
Primary practice location
99-128 Aiea Heights Drive
Suite 504
Aiea, HI 96701-3938
Mailing address
99-128 Aiea Heights Drive
Suite 504
Aiea, HI 96701-3938
Phone (808) 487-2497
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33340 | Other | HI | HAWAII MEDICAL SERVICE AS |
| 02995201 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
99-128 Aiea Heights Dr
Ste 504
Aiea, HI 96701
Phone (808) 487-2497
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Aiea, HI
- NPI 1528283397
-
- Obstetrics & Gynecology Physician
- Aiea, HI
- NPI 1538280367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073733176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DRIVE",
"address_2": "SUITE 504",
"city": "AIEA",
"state": "HI",
"postal_code": "967013938",
"telephone_number": "808-487-2497",
"fax_number": "808-487-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DRIVE",
"address_2": "SUITE 504",
"city": "AIEA",
"state": "HI",
"postal_code": "967013938",
"telephone_number": "808-487-2497",
"fax_number": "808-487-2494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE SHIMOMURA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHIMOMURA",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-487-2497",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": "MD1578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICAL SERVICE AS",
"identifier": "33340",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02995201",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.