NPIMap

Organization Active NPI

Oahu Primary Care PLLC

  • Family Medicine Physician
  • Kailua, HI
National Provider Identifier
1457018970
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OAHU PRIMARY CARE PLLC
Practice address
314 Uluniu St
Kailua, HI 96734-2584
Phone
(808) 799-2179
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Nicole Suzanne Chrysler, PA-CNPI 1043218217
Title
Physician Assistant/Manager
Phone
(808) 799-2179

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

314 Uluniu St
Kailua, HI 96734-2584

Mailing address

153 Kuulei Rd
Kailua, HI 96734-2719
Phone (808) 799-2179

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL kareo
Other URL kareo

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1457018970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 KUULEI RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342719",
            "telephone_number": "808-799-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342584",
            "telephone_number": "808-799-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAHU PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "CHRYSLER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/MANAGER",
        "authorized_official_telephone_number": "808-799-2179",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kareo",
            "affiliation": "N",
            "address_1": "314 Uluniu St",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967342584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kareo",
            "affiliation": "N",
            "address_1": "314 Uluniu St",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967342584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.