Pediatric Group of Honolulu, LLP

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIATRIC GROUP OF HONOLULU, LLP

Practice address

1319 Punahou St
Suite 1100
Honolulu, HI 96826-1001

Phone

(808) 955-7845

Fax

(808) 946-3071

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol T Hartley, M.D.

Title

Partner

Phone

(808) 955-7845

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Priscilla Jeanne Alfaro, M.D.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1881641330
  NPD (past)
• Melinda Ashton, M.D.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1659398378
  NPD (past)
• Lorene A NG, M.D.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1356449482
  NPD (past)
• Kristyn Mieko Kitabayashi Nishimoto, MD

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1851527238

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598788440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 1100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-955-7845",
            "fax_number": "808-946-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 1100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-955-7845",
            "fax_number": "808-946-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GROUP OF HONOLULU, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "808-955-7845",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250788",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Pearson
• Kenneth David Peck
• Lisa Akemi Peck, LMHC, M.A.
• David J. Pedersen, PA-C
• Robert C. Pedersen, M.D.
• Pediatric Medical Group, LLC
• Pediatric Ophthalmology Associates of Hawaii Inc
• Pediatric Orthotic and Prosthetic Services - Honolulu, LLC
• Pediatric Professionals, Inc.
• Pediatrics Associates, Inc.

• Pediatric Adolescent Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatric Adolescent Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.