Matthew Alan Mandzik, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN-997 Issued in HI

Practice address

888 S King St
Honolulu, HI 96813-3009

Phone

(808) 522-4000

NPI assigned

Aug 6, 2008

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

Certified Registered Nurse

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.

• Farmington Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Farmington, CT
  • NPI 1356348148
  NPD (past)
• Hartford Anesthesiology Associates, Inc.

  • Anesthesiology Physician
  • Hartford, CT
  • NPI 1336195015

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1710143052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 KAIULANI AVE",
            "address_2": "SUITE 1102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153062",
            "telephone_number": "860-205-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133009",
            "telephone_number": "808-522-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDZIK",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "HI",
            "license": "APRN-997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Liang Mandap, FNP-C
• Brett Gerald Mandich, DMD
• Maureen A. Mandich, LCSW
• Mindy Lin Mandich, D.O.
• Zachary Mandryk
• Madalina Marina Manea, DDS
• Jesusa Agudera Maneja
• Darline C Manfred I
• Perlita Dela Cruz Manganaan
• Teresa Katherine Adorna Manganaan

• Certified Registered Nurse Anesthetist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Certified Registered Nurse Anesthetist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.