Active NPI
LBJ Tropical Medical Center
- General Acute Care Hospital
- Pago Pago, AS
National Provider Identifier
1497787113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 2053-A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | AS | SOCIAL SECURITY |
Other names 1
- AMERICAN SAMOA MEDICAL CENTER AUTHORITY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- NPI 1013639475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497787113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2189",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967992189",
"telephone_number": "684-644-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAGAALU, AMERICAN SAMOA",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "96799",
"telephone_number": "684-633-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LBJ TROPICAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AOELUA",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "MANU",
"authorized_official_title_or_position": "ER PHYSICIAN",
"authorized_official_telephone_number": "684-644-2642",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MBBS"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AS",
"license": "2053-A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY",
"identifier": "$$$$$$$$$",
"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.