Organization Active NPI

Mid Pacific ENT Institute Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1629183801
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
D05912 Issued in HI
Legal business name
MID PACIFIC ENT INSTITUTE INC
Practice address
405 N Kuakini St
#902
Honolulu, HI 96817-6302
Phone
(808) 533-0400
Fax
(808) 533-0401
NPI assigned
Aug 20, 2006
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Timothy J McLaughlin, DONPI 1699803460
Title
Owner Physician
Phone
(808) 533-0400

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
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X D05912 HI Primary

Addresses

Primary practice location

405 N Kuakini St
#902
Honolulu, HI 96817-6302

Mailing address

405 N Kuakini St
#902
Honolulu, HI 96817-6302
Phone (808) 533-0400

Other identifiers 1

IdentifierTypeStateIssuer
554502MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000856 HI Part B Supplier - Clinic/Group Practice 0345139861 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

98-1079 Moanalua Rd
Ste 670
Aiea, HI 96701
Phone (808) 484-4810

405 N Kuakini St
Ste 1101
Honolulu, HI 96817
Phone (808) 533-0400

405 N Kuakini St
Ste 902
Honolulu, HI 96817
Phone (808) 263-4665

Practitioners & affiliated clinicians

Practitioners 3

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1629183801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "#902",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176302",
            "telephone_number": "808-533-0400",
            "fax_number": "808-533-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "#902",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176302",
            "telephone_number": "808-533-0400",
            "fax_number": "808-533-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID PACIFIC ENT INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "808-533-0400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "HI",
            "license": "D05912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554502",
            "state": "HI"
        }
    ],
    "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 Feb 26, 2013; 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.