Active NPI
Meredith Kweck Leong Pang
- Otolaryngology Physician
- Honolulu, HI
National Provider Identifier
1477585784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD01966
- Practice address
- 1834 Nuuanu Ave
#105
Honolulu, HI 96817 - Phone
- (808) 537-2932
- Fax
- (808) 537-2933
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD01966 | HI | Primary |
Addresses
Primary practice location
1834 Nuuanu Ave
#105
Honolulu, HI 96817
Mailing address
1834 Nuuanu Ave
#105
Honolulu, HI 96817
Phone (808) 537-2932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03656301 | Medicaid | HI |
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 |
|---|---|---|---|
| MD01966 | HI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meredith KL Pang, M.D., Inc | Otolaryngology | Current | Accepting new patients |
| Meredith K.L. Pang, M.D., Inc. | Otolaryngology | Past | Accepting new patients |
Locations
1834 Nuuanu Ave
Ste 105
Honolulu, HI 96817
Phone (808) 537-2932
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Honolulu, HI
- NPI 1053654152
-
- Otolaryngology Physician
- Honolulu, HI
- NPI 1487962155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477585784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 NUUANU AVE",
"address_2": "#105",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96817",
"telephone_number": "808-537-2932",
"fax_number": "808-537-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 NUUANU AVE",
"address_2": "#105",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96817",
"telephone_number": "808-537-2932",
"fax_number": "808-537-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "MEREDITH",
"middle_name": "KWECK LEONG",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "HI",
"license": "MD01966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03656301",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, 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.