George Shimomura, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD1578 Issued in HI

Practice address

99 128 Aiea Heights Drive
Suite 504
Aiea, HI 96701-3938

Phone

(808) 487-2497

Fax

(808) 487-2494

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: george.shimomura@25099984175108.direct.elationemr.com

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.

• George Shimomura MD Inc

  • Gynecology Physician
  • Aiea, HI
  • NPI 1073733176
  NPD Authorized official
• Ueno Clinic Inc.

  dba Ueno Medical Clinic

  • Urgent Care Clinic/Center
  • Honolulu, HI
  • NPI 1639315880
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528283397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 128 AIEA HEIGHTS DRIVE",
            "address_2": "SUITE 504",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013938",
            "telephone_number": "808-487-2497",
            "fax_number": "808-487-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 128 AIEA HEIGHTS DRIVE",
            "address_2": "SUITE 504",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013938",
            "telephone_number": "808-487-2497",
            "fax_number": "808-487-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMOMURA",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "HI",
            "license": "MD1578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE AS",
            "identifier": "33340",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie M. Takushi, Psy.D., Inc.
• Sherry J Miyasato PSYD Inc
• Carrie Shibata
• Sydney Shibuya
• Karley-Ann Shigeoka
• Gregg Atsushi Shimomura, MD
• Mandi Shinsato
• Jodi Shiraishi
• Dean Jason Shivvers, DC
• Rachel R Sholars

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.