NPIMap

Organization Active NPI

Russell N Harada MD Inc

  • Specialist
  • Aiea, HI
National Provider Identifier
1528223971
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RUSSELL N HARADA MD INC
Practice address
98-1079 Moanalua Road
Suite 620
Aiea, HI 96701-4716
Phone
(808) 486-7775
Fax
(808) 486-5558
NPI assigned
Jul 25, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Dr. Russell N Harada, MDNPI 1730143884
Title
Owner
Phone
(808) 486-7775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

98-1079 Moanalua Road
Suite 620
Aiea, HI 96701-4716

Mailing address

1585 Kapiolani Blvd
Suite 1800
Honolulu, HI 96814-4522
Phone (808) 941-3363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000353 HI Part B Supplier - Clinic/Group Practice 0345317087 Receives reassigned benefits from 7 practitioners
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

99-115 Aiea Heights Dr
Ste 276
Aiea, HI 96701
Phone (808) 486-7775

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1528223971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD",
            "address_2": "SUITE 1800",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144522",
            "telephone_number": "808-941-3363",
            "fax_number": "808-949-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA ROAD",
            "address_2": "SUITE 620",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-486-7775",
            "fax_number": "808-486-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL N HARADA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-486-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.