Organization Active NPI

MWC Cardiovascular Consultants, Inc

  • Cardiovascular Disease Physician
  • Aiea, HI
National Provider Identifier
1821350174
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-8690 Issued in HI
Legal business name
MWC CARDIOVASCULAR CONSULTANTS, INC
Practice address
98-1079 Moanalua Rd
Suite 655
Aiea, HI 96701-4713
Phone
(808) 486-6200
Fax
(808) 486-3736
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Michael W. Chan, M.D.NPI 1003841834
Title
President
Phone
(808) 486-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD-8690 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd
Suite 655
Aiea, HI 96701-4713

Mailing address

4563 Kolohala St
Honolulu, HI 96816-4953
Phone (808) 486-6200

Other names 1

  • Michael W. Chan, MD, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000045 HI Part B Supplier - Clinic/Group Practice 3274782982 Receives reassigned benefits from 2 practitioners
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

91-2139 Fort Weaver Rd
Ste 308
Ewa Beach, HI 96706
Phone (808) 677-5585

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1821350174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4563 KOLOHALA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164953",
            "telephone_number": "808-486-6200",
            "fax_number": "808-486-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 655",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-486-6200",
            "fax_number": "808-486-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWC CARDIOVASCULAR CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-486-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD-8690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael W. Chan, MD, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.