Scott A. Dandurand, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Honolulu, HI
NPI 1801975818 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1801975818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APRN-642 (HI)
- Practice address
- 3288 Moanalua Rd
Honolulu, HI 96819-1469 - Phone
- (808) 432-0000
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan Inc
Practice addresses (Care Compare)
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-8800
599 Farrington Hwy
Kapolei, HI 96707-2028
Phone (808) 432-3668
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110519000467 | HI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355232885 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Anesthesia Group Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients |
Locations
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
1575 S Beretania St
Ste 201-202
Honolulu, HI 96826
Phone (808) 352-2081
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN-642 | HI | Yes |
Addresses
Primary practice location
3288 Moanalua Rd
Honolulu, HI 96819-1469
Mailing address
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54884401 | Medicaid | HI |
NPI Registry JSON
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1801975818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3288 MOANALUA RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191469",
"telephone_number": "808-432-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 MOANALUA RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191469",
"telephone_number": "808-432-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDURAND",
"first_name": "SCOTT",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "HI",
"license": "APRN-642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54884401",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Damien Tavares MD, LLC
- Alexis Nicole Damo
- Dan Heslinga MD LLC
- Dan Kwok, D.O., LLC
- Dan S Yoshioka M.D. Inc
- Elizabeth Dandy
- Danelo R Canete MD Inc
- Suzan Danforth
- Christie Lauren Dang
- Collin Robert Dang
All providers in Honolulu, HI · Certified Registered Nurse Anesthetist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.