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PEDIATRIC GROUP OF HONOLULU LLP NPI 1598788440


NPI Information

NPI: 1598788440
Provider Name: PEDIATRIC GROUP OF HONOLULU, LLP
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1319 PUNAHOU ST
SUITE 1100
HONOLULU, HI
ZIP 96826
Phone: (808) 955-7845
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PEDIATRIC GROUP OF HONOLULU, LLP is an adolescent medicine pediatrics in Honolulu, HI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC GROUP OF HONOLULU, LLP NPI is 1598788440. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1319 PUNAHOU ST
SUITE 1100
HONOLULU, HI
ZIP 96826-001
Phone: (808) 955-7845
Fax: (808) 946-3071

The provider's authorized official is Carol T Hartley .
The authorized official title is Partner and has the following contact phone number (808) 955-7845.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250788MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.