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

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

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 (107 clinicians)

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Hawaii Anesthesia Group Inc Current
since Jun 8, 2019
Accepting new patients
Kaiser Foundation Health Plan, Inc Current
since Mar 6, 2012
Accepting new patients
Kaiser Foundation Health Plan Inc Current
since Mar 6, 2012
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54884401MedicaidHI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2007.

{
    "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

All providers in Honolulu, HI · Certified Registered Nurse Anesthetist in Hawaii

Sources for this page

Verify at the official NPI Registry.