Melanietantisira,MD, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

8838 Issued in HI

Legal business name

MELANIETANTISIRA,MD, LLC

Practice address

1010 S King St
Suite 503
Honolulu, HI 96814-1701

Phone

(808) 591-9111

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Tantisira, M.D.NPI 1598819088

Title

Member

Phone

(808) 591-9111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Tantisira, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1598819088
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376696310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-591-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-591-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIETANTISIRA,MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANTISIRA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-591-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "8838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Tiare Meister, MD
• Luis Mejia
• Mek MD Inc
• Barbara Greenstein Melamed, PH.D.
• Melanie M. Lau, M.D., Inc.
• Raquel Melara
• Kirsten Jegsen Melcher, RPT
• Ramon Melendez, RN
• Tifani Melendez, RBT
• Tina R. Melendrez-Chu, M.D.

• Ophthalmology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ophthalmology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.