Active NPI
Edward B Christenson
- Anesthesiology Physician
- Kailua, HI
National Provider Identifier
1831127372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD-12303
- Practice address
- 934 Maunawili Cir
Kailua, HI 96734-4619 - Phone
- (808) 261-7801
- Fax
- (808) 261-7725
- NPI assigned
- Jun 30, 2006
- Last updated
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-12303 | HI | Primary |
Addresses
Primary practice location
934 Maunawili Cir
Kailua, HI 96734-4619
Mailing address
934 Maunawili Cir
Kailua, HI 96734-4619
Phone (808) 261-7801
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A011 | Other | TRICARE | |
| 0000246207 | Other | HMSA | |
| 835014 | Other | UHA | |
| 549199-01 | Other | ACS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-12303 | HI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Anesthesia Medical Group Inc | Anesthesiology | Past | Accepting new patients |
| CHI Lifestyle Medical Center LLC | Past | Accepting new patients |
Interoperability endpoints
- edward.christenson@hawaiihie.medicity.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Kailua, HI
- NPI 1700035953
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1356362990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1831127372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 MAUNAWILI CIR",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344619",
"telephone_number": "808-261-7801",
"fax_number": "808-261-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 MAUNAWILI CIR",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344619",
"telephone_number": "808-261-7801",
"fax_number": "808-261-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSON",
"first_name": "EDWARD",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "MD-12303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000246207",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "835014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "549199-01",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.