Active NPI
Moemalu, LLC
- Anesthesiology Physician
- Honolulu, HI
National Provider Identifier
1275589392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 13613
- Legal business name
- MOEMALU, LLC
- Practice address
- 1319 Punahou St
Kapiolani Medi Ctr Women & Children
Honolulu, HI 96826-1001 - Phone
- (808) 983-6000
- NPI assigned
- May 26, 2006
- Last updated
- Apr 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ligaya Stice, M.D.
- Title
- Owner
- Phone
- (808) 536-0300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 13613 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St
Kapiolani Medi Ctr Women & Children
Honolulu, HI 96826-1001
Mailing address
PO Box 25668
Honolulu, HI 96825-0668
Phone (808) 536-0300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 576332 | Medicaid | HI | |
| 576332-02 | Medicaid | HI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1053364646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271980800000",
"number": "1275589392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25668",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968250668",
"telephone_number": "808-536-0300",
"fax_number": "808-536-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "KAPIOLANI MEDI CTR WOMEN & CHILDREN",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001",
"telephone_number": "808-983-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOEMALU, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2010-04-23",
"status": "A",
"authorized_official_last_name": "STICE",
"authorized_official_first_name": "LIGAYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-536-0300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "13613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "576332",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "576332-02",
"state": "HI"
}
],
"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 Apr 23, 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.