Organization Active NPI

Tina P Chun MD LLC

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1952470866
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-9474 Issued in HI
Legal business name
TINA P CHUN MD LLC
Practice address
550 S Beretania St
Suite 614
Honolulu, HI 96813-2496
Phone
(808) 546-1199
Fax
(808) 546-1177
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Dr. Tina P Chun, MD
Title
Owner
Phone
(808) 546-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD-9474 HI Primary

Addresses

Primary practice location

550 S Beretania St
Suite 614
Honolulu, HI 96813-2496

Mailing address

PO Box 354
Aiea, HI 96701-0354
Phone (808) 484-1169

Other identifiers 1

IdentifierTypeStateIssuer
08838404MedicaidHI

National Provider Directory

National Provider Directory

Locations

405 N Kuakini St
Ste 1109
Honolulu, HI 96817
Phone (808) 521-8585

550 S Beretania St
Ste 614
Honolulu, HI 96813
Phone (808) 544-0044

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1952470866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967010354",
            "telephone_number": "808-484-1169",
            "fax_number": "808-484-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 614",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-546-1199",
            "fax_number": "808-546-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA P CHUN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-546-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-9474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08838404",
            "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 Dec 14, 2010; 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.