Russell T. Ogawa, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

RUSSELL T. OGAWA, MD

Practice address

99-128 Aiea Heights Drive
Suite 211
Aiea, HI 96701-3972

Phone

(808) 488-8441

Fax

(808) 200-3790

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Russell T. Ogawa, M.D.

Title

President

Phone

(808) 448-8441

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1508406265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DRIVE",
            "address_2": "SUITE 211",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013972",
            "telephone_number": "808-488-8441",
            "fax_number": "808-200-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DRIVE",
            "address_2": "SUITE 211",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013972",
            "telephone_number": "808-488-8441",
            "fax_number": "808-200-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL T. OGAWA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "OGAWA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-448-8441",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000216242",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25236101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quanaisja Rubeck
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• Ashley Marie Ruggiero
• Melissa Ruiz
• Russell N Harada MD Inc
• Celeste Russell
• Chad Russell, MD
• Selena Rose Russo, PA-C
• Ryan N. Sumida M.D. Inc.
• Safe Harbor Homecare, Inc.

• Pediatrics Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.