Individual provider Active NPI

Elizabeth R Anderson-Doze, MD, MPH, FAAFP

  • Aerospace Medicine Physician
  • Honolulu, HI
National Provider Identifier
1508861147
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
MD24736 Issued in HI
Practice address
25 E St, Building 1102
Jbphh
Honolulu, HI 96817
Phone
(808) 448-1615
NPI assigned
Jun 20, 2005
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.12209R LA
Aerospace Medicine Physician 2083A0100X MD24736 HI Primary

Addresses

Primary practice location

25 E St, Building 1102
Jbphh
Honolulu, HI 96817

Mailing address

25 E St, Building 1102
Jbphh
Honolulu, HI 96817
Phone (808) 448-1615

Other identifiers 2

IdentifierTypeStateIssuer
1530018MedicaidLA
1440671MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621003370 NV Order and Referring Only - Family PracticePractitioner - Family Practice 9830158443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.12209RLAMDFamily Medicine Physician
MD24736HIMDAerospace Medicine Physician
40200TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lemlo Medical Corporation, Apmc Family Medicine Past Accepting new patients
Sabine Emergency Medicine LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1508861147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E ST, BUILDING 1102",
            "address_2": "JBPHH",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-448-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E ST, BUILDING 1102",
            "address_2": "JBPHH",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-448-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-DOZE",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "MD, MPH, FAAFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.12209R",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "HI",
            "license": "MD24736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530018",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.