Organization Active NPI

Medical Anesthesia, Inc.

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1326350406
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD802 Issued in HI
Legal business name
MEDICAL ANESTHESIA, INC.
Practice address
1301 Punchbowl St
C/O Medical Staff - Anesthesia
Honolulu, HI 96813-2402
Phone
(866) 726-6644
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Clifford KW Chock, M.D.
Title
Owner
Phone
(866) 726-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD802 HI Primary

Addresses

Primary practice location

1301 Punchbowl St
C/O Medical Staff - Anesthesia
Honolulu, HI 96813-2402

Mailing address

PO Box 17128
Honolulu, HI 96817-0128
Phone (866) 726-6441

National Provider Directory

National Provider Directory

Locations

1650 Liliha St
Ste 210
Honolulu, HI 96817
Phone (808) 531-6558

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1326350406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17128",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968170128",
            "telephone_number": "866-726-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "address_2": "C/O MEDICAL STAFF - ANESTHESIA",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "866-726-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ANESTHESIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "CHOCK",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "KW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-726-6441",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD802",
            "primary": true
        }
    ],
    "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 Jul 6, 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.

Verify at the official NPI Registry.