Clyde H. Ishii Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5352 Issued in HI

Practice address

1329 Lusitana St Ste 304
Honolulu, HI 96813-2411

Phone

(808) 537-6630

Fax

(808) 536-4084

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shriners Hospitals for Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1932448115
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1700223559
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1366450330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132411",
            "telephone_number": "808-537-6630",
            "fax_number": "808-536-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132411",
            "telephone_number": "808-537-6630",
            "fax_number": "808-536-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHII",
        "first_name": "CLYDE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "5352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Malia Ishida, L.S.W.
• Brian K Ishidera
• Derrick Keiji Ishihara, P.T.
• Lissa Ishihara
• Rhys Ishihara, MD
• Kilnani Ishii
• Blake C Ishikawa, D.D.S.
• Christine Chiyeko Ishikawa, O.D.
• Glenn T. Ishikawa, M.D.
• Janna Ishikawa, MS, CCC-SLP

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.