Active NPI
Elizabeth R Anderson-Doze, MD, MPH, FAAFP
- Aerospace Medicine Physician
- Honolulu, HI
National Provider Identifier
1508861147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- MD24736
- Practice address
- 25 E St, Building 1102
Jbphh
Honolulu, HI 96817 - Phone
- (808) 448-1615
- NPI assigned
- Jun 20, 2005
- Last updated
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1530018 | Medicaid | LA | |
| 1440671 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220621003370 | NV | Order and Referring Only - Family Practice | 9830158443 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.12209R | LA | MD | Family Medicine Physician |
| MD24736 | HI | MD | Aerospace Medicine Physician |
| 40200 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Minden, LA
- NPI 1043374291
-
- Emergency Medicine Physician
- Many, LA
- NPI 1841477155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.