MEDICARE: NICOLAS ARTZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MDR-9194	HI

General Provider Information

NPI Number	:	1396502472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLAS ARTZ MD

Provider Business Mailing Address
First Line	:	1356 LUSITANA ST FL 6
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2409
Country	:	US
Telephone Number	:	808-691-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1356 LUSITANA ST FL 6
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2409
Country	:	US
Telephone Number	:	682-557-0730
Fax Number	:	808-691-1000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	04/15/2026

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