Active NPI
Nancy S Clarke, M.D.
- Pediatrics Physician
- Honolulu, HI
National Provider Identifier
1124224282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4799
- Practice address
- 1319 Punahou St
Honolulu, HI 96826-1001 - Phone
- (808) 361-0225
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4799 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St
Honolulu, HI 96826-1001
Mailing address
915A Mokapu Blvd
Kailua, HI 96734-1841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4799 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy S. Clarke, M.D. LLC | Current | Accepting new patients | |
| Shriners Hospitals for Children | Pediatrics | Current | Accepting new patients |
| Kapiolani Medical Specialists | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients |
Locations
98-211 Pali Momi St
Ste 800
Aiea, HI 96701
Phone (808) 487-1559
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
1310 Punahou St
Honolulu, HI 96826
Phone (808) 941-4466
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Aiea, HI
- NPI 1417592254
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1124071014
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1548215692
-
- Children's Hospital
- Honolulu, HI
- NPI 1932448115
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1275271462
Pediatrics
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124224282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915A MOKAPU BLVD",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001",
"telephone_number": "808-361-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "NANCY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "4799",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.