Active NPI
David Fitz-Patrick, MD Inc.
- Specialist
- Honolulu, HI
National Provider Identifier
1932250479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD4149
- Legal business name
- DAVID FITZ-PATRICK, MD INC.
- Practice address
- 1585 Kapiolani Blvd
Suite 1500
Honolulu, HI 96814-4522 - Phone
- (808) 531-6886
- Fax
- (808) 523-5115
- NPI assigned
- Jan 12, 2007
- Last updated
- Jun 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betty J Fitz-Patrick
- Title
- Office Manager
- Phone
- (808) 440-4413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD4149 | HI | Primary |
Addresses
Primary practice location
1585 Kapiolani Blvd
Suite 1500
Honolulu, HI 96814-4522
Mailing address
1585 Kapiolani Blvd
Suite 1500
Honolulu, HI 96814-4522
Phone (808) 531-6886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04789303 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0674128 | David Fitz Patrick MD | Certificate of waiver | Apr 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
1585 Kapiolani Blvd
Ste 1500
Honolulu, HI 96814
Phone (808) 440-4413
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Specialist
- Honolulu, HI
- NPI 1275531154
-
- Endocrinology, Diabetes & Metabolism Physician
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- NPI 1386803906
-
- Nurse Practitioner
- Honolulu, HI
- NPI 1093480246
-
- Nurse Practitioner
- Honolulu, HI
- NPI 1326195934
-
- Physician Assistant
- Honolulu, HI
- NPI 1275247868
-
- Medical Physician Assistant
- Honolulu, HI
- NPI 1619373198
-
- Specialist
- Honolulu, HI
- NPI 1184622920
-
- Family Nurse Practitioner
- Honolulu, HI
- NPI 1861843989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1932250479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 KAPIOLANI BLVD",
"address_2": "SUITE 1500",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144522",
"telephone_number": "808-531-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 KAPIOLANI BLVD",
"address_2": "SUITE 1500",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144522",
"telephone_number": "808-531-6886",
"fax_number": "808-523-5115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID FITZ-PATRICK, MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "FITZ-PATRICK",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "808-440-4413"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD4149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04789303",
"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 Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.