Eddie a. Lim M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9372 Issued in HI

Legal business name

EDDIE A. LIM M.D. INC

Practice address

1021 Smith St
Suite # 306
Honolulu, HI 96817-5623

Phone

(808) 545-5777

Fax

(808) 537-9507

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eddie A Lim, M.D.NPI 1164439683

Title

President

Phone

(808) 545-5777

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eddie A Lim, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1164439683
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1497062673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SMITH ST",
            "address_2": "SUITE # 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175623",
            "telephone_number": "808-545-5777",
            "fax_number": "808-537-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SMITH ST",
            "address_2": "SUITE # 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175623",
            "telephone_number": "808-545-5777",
            "fax_number": "808-537-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE A. LIM M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-545-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "9372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST",
            "identifier": "0000206078",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE ADVANTAGE PLUS",
            "identifier": "07775800",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07775801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "07775801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "20607-8",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Diane Eckert, MD
• Jazreel Escalante Eclarinal, RN
• Christina Economos, M.D.
• Daryll Joy Edades
• Ralph Vincent Vincent Manuel Edades
• Roger Christian Ede, O.D.
• Edgar T. Dela Cruz M.D., Inc.
• Edith L. Pang M.D. Inc.
• Edith Pang MD LLC
• Edith Vajda

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.