Audie Asistin, M.D., Inc
Organization Active NPI Anesthesiology Physician · Ewa Beach, HI
NPI 1811166390 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1811166390
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- AUDIE ASISTIN, M.D., INC
- Practice address
- 91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993 - Phone
- (808) 678-7061
- NPI assigned
- Feb 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Audie Pizarro Asistin, M.D.
- Title
- Owner/President
- Phone
- (808) 678-7061
Practitioners 1
-
Audie Asistin, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000539 | HI | Part B Supplier - Clinic/Group Practice | 7113810144 |
Receives reassigned benefits from 1 practitioner Practice locations: Honolulu, HI; Wahiawa, HI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Mailing address
PO Box 700309
Kapolei, HI 96709-0309
Phone (808) 203-7943
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49608501 | Medicaid | HI |
Other providers in Ewa Beach, HI
- Trudy Hatsuyo Asato
- Audie Asistin
- Jacqueline Atienza
- Elsa Atis
- Lorraleen Napualani Au-Raycher
- Aurora C Mariani MD
- Sidney Malia Ayakawa
- Gina Bacal
- Jonelee Badua
- Nina Myra Badua
All providers in Ewa Beach, HI · Anesthesiology Physician 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 20, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.