Honolulu Pain Management Clinic, L.L.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD7531 Issued in HI

Legal business name

HONOLULU PAIN MANAGEMENT CLINIC, L.L.C.

Practice address

500 Ala Moana Blvd Ste 1-302
Honolulu, HI 96813-4920

Phone

(808) 528-3657

Fax

(808) 524-6552

NPI assigned

Jan 11, 2007

Last updated

Dec 21, 2007By 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

Dr. Jeffrey Sze-Chung Wang, M.D.NPI 1457418386

Title

Member

Phone

(808) 528-3657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Honolulu Pain Management Clinic, LLC

  • Non-Pharmacy Dispensing Site
  • Honolulu, HI
  • NPI 1427390210
  NPPES parent name

Practitioners 5

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.

• Jeffrey Sze-Chung Wang, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Honolulu, HI
  • NPI 1457418386
  Medicare reassignment Care Compare group NPD Authorized official
• Kelsie Tada

  • Medical Physician Assistant
  • Honolulu, HI
  • NPI 1275904930
  Medicare reassignment Care Compare group
• Stephanie Murata, PA-C

  • Surgical Physician Assistant
  • Honolulu, HI
  • NPI 1316289481
  Care Compare group
• Mary Leilani Yoshiko Gutierrez, A.P.R.N.

  • Nurse Practitioner
  • Honolulu, HI
  • NPI 1306903273
  NPD
• Troy Alan Tada, D.O

  • Pain Medicine (Anesthesiology) Physician
  • Honolulu, HI
  • NPI 1407114713
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1912057100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 1-302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-528-3657",
            "fax_number": "808-524-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 1-302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-528-3657",
            "fax_number": "808-524-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU PAIN MANAGEMENT CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SZE-CHUNG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-528-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "HI",
            "license": "MD7531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honolulu Medical Group, Inc
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• Honolulu Optical Co., Inc. (Tokyo Optical)
• Honolulu Optical Co., Inc. (Tokyo Optical)
• Honolulu Orthopedic Supply, Inc.
• Honolulu Pain Management Clinic, LLC
• Honolulu Pain Relief Center LLC
• Honolulu Pharmacy Inc (The Honolulu Pharmacy)
• Honolulu Physician Alliance LLC
• Honolulu Plastic Surgery LLC

• Pain Medicine (Anesthesiology) Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pain Medicine (Anesthesiology) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.