Jose M. Madamba, MD., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD-2920 Issued in HI

Legal business name

JOSE M. MADAMBA, MD., INC.

Practice address

1712 Liliha Street
Suite 203
Honolulu, HI 96817

Phone

(808) 523-7955

Fax

(808) 536-9498

NPI assigned

Feb 12, 2014

Organization subpart

Yes

Parent organization

JOSE M. MADAMBA MD., INC.As reported in NPPES

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

Authorized official

Name

Mr. Jose M. Madamba, MD

Title

President

Phone

(808) 523-7955

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Jose M Madamba MD

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1891119723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA STREET",
            "address_2": "SUITE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-523-7955",
            "fax_number": "808-536-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA STREET",
            "address_2": "SUITE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-523-7955",
            "fax_number": "808-536-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M. MADAMBA, MD., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSE M. MADAMBA MD., INC.",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "MADAMBA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "18085237955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-2920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/BCBS",
            "identifier": "0000040394",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3667301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Carvalho Jordao, LMT
• Jorge C Samaniego Jr MD LLC
• Candido Jorge Cuan, STATE LICENSED OPTIC
• Jorge G Camara M D Inc
• Patti Jorgensen, M.COUNSELING, SSW
• Ayanna Rece Jose
• Christine Marie Jose, M.D.
• Denisse Jose
• Joseph K Koo MD
• Joseph R McKinlay MD LLC

• Surgery Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.