Hawaii Physicians Association LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-566 Issued in HI

Legal business name

HAWAII PHYSICIANS ASSOCIATION LLC

Doing business as

East Hawaii Medical Clinic

Practice address

80 Pauahi St Ste 103
Hilo, HI 96720-3043

Phone

(808) 969-3331

Fax

(808) 935-6175

NPI assigned

Oct 17, 2013

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter A Matsuura, M.D.NPI 1053368373

Title

Manager

Phone

(808) 969-3331

Specialties & licenses 3

Addresses

Other names 1

• East Hawaii Medical Clinic Doing business as

Locations

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.

• Peter Arnold Matsuura, M.D.

  • Orthopaedic Surgery Physician
  • Hilo, HI
  • NPI 1053368373
  NPD (past) Authorized official

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1316375900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 214",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207830",
            "telephone_number": "808-969-3331",
            "fax_number": "808-935-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PAUAHI ST STE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203043",
            "telephone_number": "808-969-3331",
            "fax_number": "808-935-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PHYSICIANS ASSOCIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "MATSUURA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-969-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-RX-445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-566",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Hawaii Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hawaii Radiologic Associates, LTD.
• Hawaii Shoulder and Orthopedic Institute LLC
• Hawaii Smile Designs LLC (Hawaii Smile Designs)
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• Family Nurse Practitioner in Hilo, HI
• Providers in Hilo, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.