Organization Active NPI

Don T. Matsuura, M.D., Inc.

  • Specialist
  • Hilo, HI
National Provider Identifier
1770833360
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD - 4599 Issued in HI
Legal business name
DON T. MATSUURA, M.D., INC.
Practice address
1248 Kinoole St Ste 104
Hilo, HI 96720-4171
Phone
(808) 935-0056
Fax
(808) 961-3061
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Don T. Matsuura, M.D.
Title
Physician
Phone
(808) 935-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD - 4599 HI Primary

Addresses

Primary practice location

1248 Kinoole St Ste 104
Hilo, HI 96720-4171

Mailing address

1248 Kinoole St Ste 104
Hilo, HI 96720-4171
Phone (808) 935-0056

National Provider Directory

National Provider Directory

Locations

1248 Kinoole St
Ste 104
Hilo, HI 96720
Phone (808) 935-0056

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1770833360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE ST STE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-935-0056",
            "fax_number": "808-961-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE ST STE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-935-0056",
            "fax_number": "808-961-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON T. MATSUURA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MATSUURA",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-935-0056",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD - 4599",
            "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 Sep 11, 2012; 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.