Medicine Pediatrics Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

11321MD Issued in HI

Legal business name

MEDICINE PEDIATRICS ASSOCIATES, LLC

Practice address

550 S Beretania St
Ste 502
Honolulu, HI 96813-2496

Phone

(808) 521-9404

NPI assigned

Aug 18, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadine Tenn Salle, M.D.NPI 1730125543

Title

Ceo

Phone

(808) 521-9404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Nadine Tenn Salle, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1730125543
  Authorized official Same address or phone

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861506867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "STE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-521-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "STE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-521-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE PEDIATRICS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SALLE",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "TENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-521-9404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "11321MD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50751002",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Diagnostic Partners LLC
• Medical Housecalls Hawaii
• Medical Imaging Inc
• Medical Specialists of Hawaii LLC
• Medical Specialists of Hawaii, LLC
• Medicus Inc
• Flora Gadi Medina-Manuel, M.D.
• Candi Medina, RDN
• Cherry Elaine Serafica Medina, APRN
• Farrah Lei Medina

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.