Physician Providers, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PHYSICIAN PROVIDERS, INC.

Practice address

1777 Ala Moana Blvd
Lobby Level - Ilikai Hotel
Honolulu, HI 96815-1603

Phone

(808) 926-9911

Fax

(808) 949-7771

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Rady Magauran, M.D.

Title

President

Phone

(808) 926-9911

Specialties & licenses 1

Addresses

Other names 1

• Hawaii Ueno Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1639341886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 ALA MOANA BLVD",
            "address_2": "LOBBY LEVEL - ILIKAI HOTEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151603",
            "telephone_number": "808-926-9911",
            "fax_number": "808-949-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 ALA MOANA BLVD",
            "address_2": "LOBBY LEVEL - ILIKAI HOTEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151603",
            "telephone_number": "808-926-9911",
            "fax_number": "808-949-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "MAGAURAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-926-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Ueno Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Urgent Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.