Organization Active NPI

Neal T Shimoda M D Inc

  • Gastroenterology Physician
  • Honolulu, HI
National Provider Identifier
1871618561
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NEAL T SHIMODA M D INC
Practice address
321 N Kuakini St Ste 503
Honolulu, HI 96817-2390
Phone
(808) 521-9584
Fax
(808) 521-9587
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. Neal T. Shimoda, M.D.
Title
President
Phone
(808) 521-9584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

321 N Kuakini St Ste 503
Honolulu, HI 96817-2390

Mailing address

321 N Kuakini St Ste 503
Honolulu, HI 96817-2390
Phone (808) 521-9584

Other identifiers 2

IdentifierTypeStateIssuer
0000235259OtherHIHMSA GROUP NUMBER
03563901MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1871618561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172390",
            "telephone_number": "808-521-9584",
            "fax_number": "808-521-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172390",
            "telephone_number": "808-521-9584",
            "fax_number": "808-521-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL T SHIMODA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "SHIMODA",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-521-9584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA GROUP NUMBER",
            "identifier": "0000235259",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03563901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.