Organization Active NPI

Ian S Ebesugawa MD

  • Obstetrics & Gynecology Physician
  • Hilo, HI
National Provider Identifier
1689441362
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
IAN S EBESUGAWA MD
Practice address
75 Puuhonu PL Ste 202
Hilo, HI 96720-2000
Phone
(808) 969-2055
Fax
(808) 969-7146
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Ian Ebesugawa, MD
Title
Ceo
Phone
(808) 969-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

75 Puuhonu PL Ste 202
Hilo, HI 96720-2000

Mailing address

75 Puuhonu PL Ste 202
Hilo, HI 96720-2000

National Provider Directory

National Provider Directory

Locations

75 Puuhonu Pl
Ste 202
Hilo, HI 96720
Phone (808) 203-6518

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1689441362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PUUHONU PL STE 202",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PUUHONU PL STE 202",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202000",
            "telephone_number": "808-969-2055",
            "fax_number": "808-969-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN S EBESUGAWA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "EBESUGAWA",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-969-2055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.