Active NPI
Elizabeth Wright Schusser, M.D.
- Family Medicine Physician
- Lahaina, HI
National Provider Identifier
1457494445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD6743
- Practice address
- 180 Dickenson St Ste 103
Lahaina, HI 96761-1215 - Phone
- (808) 662-5642
- Fax
- (808) 662-5642
- NPI assigned
- Feb 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD6743 | HI | Primary |
Addresses
Primary practice location
180 Dickenson St Ste 103
Lahaina, HI 96761-1215
Mailing address
28 Puapake PL Apt 1
Lahaina, HI 96761-3209
Phone (808) 662-5642
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C063705 | Other | HI | HMSA |
| 260031934 | Other | HI | TAX ID |
| 52799701 | Medicaid | HI | |
| 191746I1 | Other | HI | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6743 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Family Practice Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Lahaina, HI
- NPI 1164595229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457494445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 PUAPAKE PL APT 1",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967613209",
"telephone_number": "808-662-5642",
"fax_number": "808-662-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 DICKENSON ST STE 103",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967611215",
"telephone_number": "808-662-5642",
"fax_number": "808-662-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUSSER",
"first_name": "ELIZABETH",
"middle_name": "WRIGHT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD6743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "C063705",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "260031934",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52799701",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "191746I1",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lahaina, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.