Individual provider Active NPI

Edward B Christenson

  • Anesthesiology Physician
  • Kailua, HI
National Provider Identifier
1831127372
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-12303 Issued in HI
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A011OtherTRICARE
0000246207OtherHMSA
835014OtherUHA
549199-01OtherACS

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

LicenseStateTypeSpecialty
MD-12303HIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients
CHI Lifestyle Medical Center LLC PastSince Mar 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.