Elmer F. Baysa MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-4889 Issued in HI

Legal business name

ELMER F. BAYSA MD, INC

Practice address

91-775 Papipi Rd Ste a
Ewa Beach, HI 96706-2466

Phone

(808) 689-8315

Fax

(808) 689-8153

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Malia Valencia

Title

Office Manager

Phone

(808) 689-8315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elmer F. Baysa, MD

  • Internal Medicine Physician
  • Ewa Beach, HI
  • NPI 1699829127
  Medicare reassignment NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1619456035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-775 PAPIPI RD STE A",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062466",
            "telephone_number": "808-689-8315",
            "fax_number": "808-689-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-775 PAPIPI RD STE A",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062466",
            "telephone_number": "808-689-8315",
            "fax_number": "808-689-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER F. BAYSA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "MALIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-689-8315"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-4889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.