Individual provider Active NPI

Spencer Alan Lau, DO

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1427194083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
565 Issued in HI
Practice address
549 Halemaumau Street
Honolulu, HI 96821-2150
Phone
(808) 373-2167
Fax
(808) 373-3330
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 565 HI Primary

Addresses

Primary practice location

549 Halemaumau Street
Honolulu, HI 96821-2150

Mailing address

549 Halemaumau Street
Honolulu, HI 96821-2150
Phone (808) 373-2167

Other identifiers 1

IdentifierTypeStateIssuer
02513401MedicaidHI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060104000519 HI Practitioner - General PracticePractitioner - Pain ManagementPractitioner - Osteopathic Manipulative Medicine 0143243279 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
565HIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portner Orthopedic Rehabilitation Incorporated CurrentSince Jun 10, 2018 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients
Gary L. Greenly, D.O., Inc General Practice Past Accepting new patients

Locations

45-1144 Kamehameha Hwy
Ste 500
Kaneohe, HI 96744
Phone (808) 247-7596

46-001 Kamehameha Hwy
Ste 109
Kaneohe, HI 96744
Phone (808) 247-7596

Interoperability endpoints

  • Direct secure messaging: spencer.lau@24530103894020.direct.elationemr.com
  • Direct secure messaging: spencer.lau@75163384938500.direct.elationemr.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427194083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 HALEMAUMAU STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212150",
            "telephone_number": "808-373-2167",
            "fax_number": "808-373-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 HALEMAUMAU STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212150",
            "telephone_number": "808-373-2167",
            "fax_number": "808-373-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "SPENCER",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.