Organization Active NPI

Mid Pacific Physicians and Surgeons

Doing business as Mid Pacific Surgical Specialists

  • Specialist
  • Wailuku, HI
National Provider Identifier
1851751861
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID PACIFIC PHYSICIANS AND SURGEONS
Doing business as
Mid Pacific Surgical Specialists
Practice address
1830 Wells St
Suite 101
Wailuku, HI 96793-2365
Phone
(808) 856-4060
Fax
(808) 442-9670
NPI assigned
Mar 3, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Arthur B Chasen, M.D.NPI 1518034909
Title
Managing Partner
Phone
(808) 856-4060

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1830 Wells St
Suite 101
Wailuku, HI 96793-2365

Mailing address

1830 Wells St
Suite 101
Wailuku, HI 96793-2365
Phone (808) 856-4060

Other names 1

  • Mid Pacific Surgical Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160920000948 HI Part B Supplier - Clinic/Group Practice 9335436393 Receives reassigned benefits from 2 practitioners
Practice locations: Wailuku, HI

National Provider Directory

National Provider Directory

Locations

1830 Wells St
Ste 101
Wailuku, HI 96793
Phone (808) 244-3200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1851751861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST",
            "address_2": "SUITE 101",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-856-4060",
            "fax_number": "808-442-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST",
            "address_2": "SUITE 101",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-856-4060",
            "fax_number": "808-442-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID PACIFIC PHYSICIANS AND SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "CHASEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "808-856-4060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Pacific Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.