Hawaii Heart and Vascular Center
Organization Active NPI Cardiovascular Disease Physician · Honolulu, HI
NPI 1457514432 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1457514432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- DOS-777 (HI)
- Legal business name
- HAWAII HEART AND VASCULAR CENTER
- Practice address
- 1329 Lusitana St
Suite 809
Honolulu, HI 96813-2429 - Phone
- (808) 587-8322
- Fax
- (808) 587-8325
- NPI assigned
- Jul 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. David T Lee, DO
- Title
- President
- Phone
- (808) 372-2260
Practitioners 2
-
David T.W. Lee, D.O.
-
Shao-Ling Wang, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081105000671 | HI | Part B Supplier - Clinic/Group Practice | 2860551850 |
Receives reassigned benefits from 1 practitioner Practice locations: Aiea, HI; Honolulu, HI; Wahiawa, HI |
National Provider Directory
Locations
1329 Lusitana St
Ste 809
Honolulu, HI 96813
Phone (808) 533-1711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | DOS-777 | HI | Yes |
Addresses
Primary practice location
1329 Lusitana St
Suite 809
Honolulu, HI 96813-2429
Mailing address
PO Box 235889
Honolulu, HI 96823-3516
Other providers in Honolulu, HI
- Hawaii Health Care Inc
- Hawaii Health Partners, LLC
- Hawaii Healthcare Professionals, Inc.
- Hawaii Hearing AIDS, LTD
- Hawaii Hearing Care
- Hawaii Home Care Inc
- Hawaii Home Care Inc
- Hawaii Home Care Inc
- Hawaii Home Care Inc
- Hawaii Homeless Healthcare Hui
All providers in Honolulu, HI · Cardiovascular Disease Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.