NPIMap

Organization Active NPI

Anesthesia Innovations LLC

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1386965762
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-15642 Issued in HI
Legal business name
ANESTHESIA INNOVATIONS LLC
Practice address
1712 Liliha St
Suite 301
Honolulu, HI 96817-5410
Phone
(808) 206-5301
Fax
(808) 447-8696
NPI assigned
Jun 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Jerald Mark Garcia, M.D.NPI 1871709667
Title
Sole Proprietor
Phone
(612) 226-0242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD-15642 HI Primary

Addresses

Primary practice location

1712 Liliha St
Suite 301
Honolulu, HI 96817-5410

Mailing address

7192 Kalanianaole Hwy
Suite A143A/144
Honolulu, HI 96825-1800
Phone (808) 206-5301

Other identifiers 1

IdentifierTypeStateIssuer
3040337MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000864 HI Part B Supplier - Clinic/Group Practice 2466577879 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI; Waipahu, HI; Kahului, HI; Aiea, HI

National Provider Directory

National Provider Directory

Locations

7192 Kalanianaole Hwy
Ste A143
Honolulu, HI 96825

500 Ala Moana Blvd
Ste 1301
Honolulu, HI 96813
Phone (619) 767-8014

39 W Kamehameha Ave
Kahului, HI 96732
Phone (808) 206-5301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDCCA

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1386965762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY",
            "address_2": "SUITE A143A/144",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-206-5301",
            "fax_number": "808-447-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 301",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-206-5301",
            "fax_number": "808-447-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "612-226-0242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-15642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040337",
            "state": "OH"
        }
    ],
    "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 Sep 8, 2010; 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.