Organization Active NPI

Lanipo Village Anesthesia LLC

  • Anesthesiology Physician
  • Kailua, HI
National Provider Identifier
1134496086
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD05461 Issued in HI
Legal business name
LANIPO VILLAGE ANESTHESIA LLC
Practice address
151 Lanipo Dr
Kailua, HI 96734-3228
Phone
(808) 721-2685
Fax
(808) 263-1013
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
John Rausch, MD
Title
Member
Phone
(808) 721-2685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD05461 HI Primary

Addresses

Primary practice location

151 Lanipo Dr
Kailua, HI 96734-3228

Mailing address

151 Lanipo Dr
Kailua, HI 96734-3228
Phone (808) 721-2685

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1134496086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LANIPO DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343228",
            "telephone_number": "808-721-2685",
            "fax_number": "808-263-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LANIPO DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343228",
            "telephone_number": "808-721-2685",
            "fax_number": "808-263-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIPO VILLAGE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-721-2685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD05461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.