Organization Active NPI

Island Obstetrics & Gynecology LLP

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1073880209
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ISLAND OBSTETRICS & GYNECOLOGY LLP
Practice address
550 S Beretania St Ste 614
Honolulu, HI 96813-2496
Phone
(808) 546-1199
NPI assigned
Nov 16, 2011
Last updated
Dec 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

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

Authorized official

Name
Dr. Shera Sugibayashi, MDNPI 1063616860
Title
Owner
Phone
(808) 699-9311

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

550 S Beretania St Ste 614
Honolulu, HI 96813-2496

Mailing address

550 S Beretania St Ste 614
Honolulu, HI 96813-2496
Phone (808) 546-1199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000261 HI Part B Supplier - Clinic/Group Practice 9537321880 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1380 Lusitana St
Ste 1014
Honolulu, HI 96813
Phone (808) 524-4606

Practitioners & affiliated clinicians

Practitioners 2

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": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1073880209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 614",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-546-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST STE 614",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-546-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND OBSTETRICS & GYNECOLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "SUGIBAYASHI",
        "authorized_official_first_name": "SHERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-699-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 2011; 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.