Hawaii Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

HAWAII SURGERY LLC

Practice address

321 N Kuakini St Ste 714
Honolulu, HI 96817-2362

Phone

(808) 528-3606

Fax

(808) 538-7850

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By 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

Chan Park, MDNPI 1720283153

Title

MD Owner

Phone

(919) 448-6843

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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.

• Chan W. Park, M.D.

  • Surgery Physician
  • Honolulu, HI
  • NPI 1720283153
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1982420907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 714",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-528-3606",
            "fax_number": "808-538-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 714",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-528-3606",
            "fax_number": "808-538-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHAN",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "919-448-6843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawaii Security Alarms, LLC (HiAlarm)
• Hawaii Senior Care LLC
• Hawaii Skin Cancer and Photodamage Center, Inc
• Hawaii Skin Cancer Center, LLC
• Hawaii Sunshine Home Care Inc
• Hawaii Telehealth Psychological and Coaching Services
• Hawaii Therapeutic Partners, LLC
• Hawaii TMJ Institute (Armand Kainoa Chong DDS)
• Hawaii Urology Services, Inc.
• Hawaii Vascular and Endovascular Inc

• 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 Nov 25, 2024; 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.