Elizabeth M. Ignacio, M.D., LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

13763 Issued in HI

Legal business name

ELIZABETH M. IGNACIO, M.D., LLC

Practice address

1329 Lusitana St
Ste 801
Honolulu, HI 96813-2429

Phone

(808) 521-8170

Fax

(808) 537-9195

NPI assigned

Jul 20, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Griffith, MBA, CMPE

Title

Administrator

Phone

(808) 521-8130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1790030161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "STE 820",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143503",
            "telephone_number": "808-524-5247",
            "fax_number": "808-521-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "STE 801",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-521-8170",
            "fax_number": "808-537-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH M. IGNACIO, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-521-8130",
        "authorized_official_credential": "MBA, CMPE"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "HI",
            "license": "13763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Orthopaedic Surgery) Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.