Organization Active NPI

Lori Tungpalan-Grondolsky MD, Inc

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1568830909
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
14755 Issued in HI
Legal business name
LORI TUNGPALAN-GRONDOLSKY MD, INC
Practice address
1350 Punchbowl St
Honolulu, HI 96813
Phone
(419) 230-7480
NPI assigned
Sep 2, 2015
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Lori Tungpalan-Grondolsky
Title
President
Phone
(419) 230-7480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 14755 HI Primary

Addresses

Primary practice location

1350 Punchbowl St
Honolulu, HI 96813

Mailing address

PO Box 2997
Honolulu, HI 96802-2997
Phone (419) 230-7480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1568830909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2997",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968022997",
            "telephone_number": "419-230-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "419-230-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI TUNGPALAN-GRONDOLSKY MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "TUNGPALAN-GRONDOLSKY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-230-7480"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "14755",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2015; 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.