Organization Active NPI

East Oahu Medical Center Inc

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1215090139
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST OAHU MEDICAL CENTER INC
Practice address
850 West Hind Dr
Suite 110
Honolulu, HI 96821-1845
Phone
(808) 373-5728
Fax
(808) 377-3432
NPI assigned
Dec 19, 2006
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
Mrs. Kristy S Hanzawa
Title
Office Manager
Phone
(808) 373-5728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

850 West Hind Dr
Suite 110
Honolulu, HI 96821-1845

Mailing address

850 W Hind Dr
Suite #110
Honolulu, HI 96821-1855
Phone (808) 373-5728

National Provider Directory

National Provider Directory

Locations

850 W Hind Dr
Ste 109
Honolulu, HI 96821
Phone (808) 373-5728

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1215090139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W HIND DR",
            "address_2": "SUITE #110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211855",
            "telephone_number": "808-373-5728",
            "fax_number": "808-377-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WEST HIND DR",
            "address_2": "SUITE 110",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-373-5728",
            "fax_number": "808-377-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST OAHU MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "HANZAWA",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-373-5728",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 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.