Active NPI
Jan L. Houser, MD
- Family Medicine Physician
- Hilo, HI
National Provider Identifier
1245313287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-8444
- Practice address
- 1292 Waianuenue Ave
Hilo, HI 96720-1228 - Phone
- (808) 934-4000
- NPI assigned
- Oct 23, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-8444 | HI | Primary |
Addresses
Primary practice location
1292 Waianuenue Ave
Hilo, HI 96720-1228
Mailing address
1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone (808) 934-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069915-01 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-8444 | HI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1245313287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 WAIANUENUE AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967201228",
"telephone_number": "808-934-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1292 WAIANUENUE AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967201228",
"telephone_number": "808-934-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSER",
"first_name": "JAN",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-8444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069915-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.