TEDDIE JOE SNODGRASS INC. NPI 1003272386

NPI Information

  • NPI: 1003272386
  • Provider Name: TEDDIE JOE SNODGRASS, INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: SNODGRASS MEDICAL GROUP
  • Address: 1130 N NIMITZ HWY RM A153
    HONOLULU, HI
    ZIP 96817
  • Phone: (808) 342-7843

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NPI Details

TEDDIE JOE SNODGRASS, INC. is a primary care clinic center in Honolulu, HI. TEDDIE JOE SNODGRASS, INC. NPI is 1003272386. The provider is registered as an organization entity type.
The provider Is Doing Business As Snodgrass Medical Group.

The provider's business location address is:

1130 N NIMITZ HWY RM A153
HONOLULU, HI
ZIP 96817-777
Phone: (808) 342-7843
Fax: (866) 323-1118

The provider's authorized official is Teddie Joe Snodgrass .
The authorized official title is President and has the following contact phone number (808) 342-7843.

The enumeration date for this NPI number is 1/3/2016 and was last updated on 1/5/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainNo
2261QR1300XClinic/CenterRural HealthNo
3163WC0200XRegistered NurseCritical Care MedicineNo
4261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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