Active NPI
Shantha Cecelia McKinlay, M.D.
- Anesthesiology Physician
- Honolulu, HI
National Provider Identifier
1952411035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD11209
- Practice address
- 1310 Punahou St
Honolulu, HI 96826-1027 - Phone
- (808) 951-3743
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD11209 | HI | Primary |
Addresses
Primary practice location
1310 Punahou St
Honolulu, HI 96826-1027
Mailing address
98-845 Kaahele St
Aiea, HI 96701-2759
Phone (808) 375-3568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11209 | HI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952411035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-845 KAAHELE ST",
"city": "AIEA",
"state": "HI",
"postal_code": "967012759",
"telephone_number": "808-375-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 PUNAHOU ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261027",
"telephone_number": "808-951-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLAY",
"first_name": "SHANTHA",
"middle_name": "CECELIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "MD11209",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.