Honolulu Pain Management Clinic, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

HONOLULU PAIN MANAGEMENT CLINIC, LLC

Practice address

500 Ala Moana Blvd
1 Waterfront Plaza Suite 302
Honolulu, HI 96813-4920

Phone

(808) 528-3657

NPI assigned

Mar 20, 2013

Organization subpart

Yes

Parent organization

HONOLULU PAIN MANAGEMENT CLINIC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jeffrey S. Wang, MD

Title

Medical Director

Phone

(808) 528-3657

Specialties & licenses 1

Addresses

Part of

Honolulu Pain Management

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Honolulu Pain Management Clinic, L.L.C.

  • Pain Medicine (Anesthesiology) Physician
  • Honolulu, HI
  • NPI 1912057100
  NPPES parent name

Practitioners 1

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

• Troy Alan Tada, D.O

  • Pain Medicine (Anesthesiology) Physician
  • Honolulu, HI
  • NPI 1407114713
  NPD (past)

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1427390210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD",
            "address_2": "1 WATERFRONT PLAZA SUITE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-528-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU PAIN MANAGEMENT CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HONOLULU PAIN MANAGEMENT CLINIC, LLC",
        "enumeration_date": "2013-03-20",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-528-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Honolulu Pain Management Clinic, L.L.C.
• Honolulu Pain Relief Center LLC
• Honolulu Pharmacy Inc (The Honolulu Pharmacy)
• Honolulu Physician Alliance LLC
• Honolulu Plastic Surgery LLC
• Honolulu Primary Care Associates LLC

• Non-Pharmacy Dispensing Site in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Non-Pharmacy Dispensing Site in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.