Organization Active NPI

LBJ Tropical Medical Center

  • General Acute Care Hospital
  • Pago Pago, AS
National Provider Identifier
1497787113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2053-A Issued in AS
Legal business name
LBJ TROPICAL MEDICAL CENTER
Practice address
Fagaalu, American Samoa
Pago Pago, AS 96799
Phone
(684) 633-1222
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Erica Manu Aoelua, MBBS
Title
ER Physician
Phone
(684) 644-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2053-A AS Primary

Addresses

Primary practice location

Fagaalu, American Samoa
Pago Pago, AS 96799

Mailing address

PO Box 2189
Pago Pago, AS 96799-2189
Phone (684) 644-2642

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherASSOCIAL SECURITY

Other names 1

  • AMERICAN SAMOA MEDICAL CENTER AUTHORITY Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497787113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2189",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967992189",
            "telephone_number": "684-644-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAGAALU, AMERICAN SAMOA",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-633-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBJ TROPICAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AOELUA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MANU",
        "authorized_official_title_or_position": "ER PHYSICIAN",
        "authorized_official_telephone_number": "684-644-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MBBS"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AS",
            "license": "2053-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "AS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN SAMOA MEDICAL CENTER AUTHORITY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pago Pago, AS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.