Organization Active NPI

Hawaii Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Honolulu, HI
National Provider Identifier
1821054412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HAWAII ENDOSCOPY CENTER LLC
Practice address
2226 Liliha Street
Suite 407
Honolulu, HI 96817
Phone
(808) 531-5823
Fax
(808) 531-5819
NPI assigned
Apr 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott B Halliday
Title
Member of Owner
Phone
(800) 362-9772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2226 Liliha Street
Suite 407
Honolulu, HI 96817

Mailing address

PO Box 29960
Honolulu, HI 96820
Phone (800) 362-9772

Other identifiers 9

IdentifierTypeStateIssuer
0000232165OtherMEDICAID HMSA QUEST
52073501MedicaidHI
52073501OtherMEDICARE CLASS
54102OtherMEDICARE CLASS
Z1617OtherHIMDX
0000232165OtherHMSA 65C PLUS
Z1617OtherQUEENS MDS
0000232165OtherHMSA
52073501OtherMEDICAID HAWAII

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821054412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29960",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96820",
            "telephone_number": "800-362-9772",
            "fax_number": "425-637-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA STREET",
            "address_2": "SUITE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-531-5823",
            "fax_number": "808-531-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER OF OWNER",
        "authorized_official_telephone_number": "800-362-9772"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMSA QUEST",
            "identifier": "0000232165",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52073501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLASS",
            "identifier": "52073501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLASS",
            "identifier": "54102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX",
            "identifier": "Z1617",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA 65C PLUS",
            "identifier": "0000232165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS MDS",
            "identifier": "Z1617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000232165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HAWAII",
            "identifier": "52073501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.