Patrick E Pan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD15689 Issued in HI

Practice address

1710 E West Rd
Honolulu, HI 96822

Phone

(808) 956-8965

NPI assigned

Feb 2, 2009

Last updated

Jun 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Medical Dermatology LLC

  • Dermatology Physician
  • Honolulu, HI
  • NPI 1639844681
  NPD Authorized official
• University Health Services Manoa

  • Clinic/Center
  • Honolulu, HI
  • NPI 1669532875
  NPD (past)
• University of Hawaii at Manoa

  dba University of Hawaii Student Health Services

  • Clinic Pharmacy
  • Honolulu, HI
  • NPI 1104866854
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1700024536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E WEST RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222317",
            "telephone_number": "808-956-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E WEST RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96822",
            "telephone_number": "808-956-8965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95-390 Kuahelani Ave",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967891192",
            "country_code": "US",
            "telephone_number": "808-627-3230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Kaiulani Ave # Wing1011",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968156203",
            "country_code": "US",
            "telephone_number": "808-204-9549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAN",
        "first_name": "PATRICK",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD15689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alastair Adrian Pan, PA-C
• Diane Pan, M.D.
• Gui H Pan
• Jacqueline Pan, O.D
• Katherine Lee Pan, DO
• Panetta Psychotherapy
• Chelsea Ray O'Brien Pang, APRN-RX
• Derek Kwock Heen Pang, M.D.
• Edith L. Pang, M.D.
• Erika Pang, M.D

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.