Active NPI
Eugene T. Tanabe, M.D.
- Urology Physician
- Aiea, HI
National Provider Identifier
1124056635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4072
- Practice address
- 98-1079 Moanalua Rd
#460
Aiea, HI 96701-4713 - Phone
- (808) 487-8922
- Fax
- (808) 486-8466
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4072 | HI | Primary |
Addresses
Primary practice location
98-1079 Moanalua Rd
#460
Aiea, HI 96701-4713
Mailing address
98-1079 Moanalua Rd
#460
Aiea, HI 96701-4713
Phone (808) 487-8922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00274901 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1124056635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA RD",
"address_2": "#460",
"city": "AIEA",
"state": "HI",
"postal_code": "967014713",
"telephone_number": "808-487-8922",
"fax_number": "808-486-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA RD",
"address_2": "#460",
"city": "AIEA",
"state": "HI",
"postal_code": "967014713",
"telephone_number": "808-487-8922",
"fax_number": "808-486-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANABE",
"first_name": "EUGENE",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "HI",
"license": "4072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274901",
"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 Jun 30, 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.