Individual provider Active NPI

Meredith Kweck Leong Pang

  • Otolaryngology Physician
  • Honolulu, HI
National Provider Identifier
1477585784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD01966 Issued in HI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03656301MedicaidHI

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

LicenseStateTypeSpecialty
MD01966HIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith KL Pang, M.D., Inc Otolaryngology CurrentSince Sep 12, 1990 Accepting new patients
Meredith K.L. Pang, M.D., Inc. Otolaryngology PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.