Ntandem Fitness and Nutrition, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

17081 Issued in HI

Legal business name

NTANDEM FITNESS AND NUTRITION, LLC

Practice address

239 Hoohana St
Kahului, HI 96732-2452

Phone

(502) 693-2037

Fax

(502) 795-3507

NPI assigned

Apr 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Louis Todd House, MD

Title

Member

Phone

(502) 693-2037

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1366838823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 EVERETT AVE APT 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041272",
            "telephone_number": "502-693-2037",
            "fax_number": "502-795-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HOOHANA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322452",
            "telephone_number": "502-693-2037",
            "fax_number": "502-795-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTANDEM FITNESS AND NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-11",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-693-2037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "17081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "421264647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Nguyen, O.D.
• Harrison Nichols
• Meaghan Nicholson
• Ceidilee Nobriga
• Mark L Nowicki, MS - COUNSELING
• Tetsuto Numata, M.D.
• Ricardo Nunez, RN
• Chealeen A Obrero, RN
• Maylene Casio Oda, RN
• Lance Diamond Ogata, D.D.S

• Anesthesiology Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Anesthesiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.