Healthcare Provider Details

I. General information

NPI: 1043980410
Provider Name (Legal Business Name): EXCEL SPINE & ORTHOPEDIC INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD BLDG 4 STE 470
HONOLULU HI
96813-4920
US

IV. Provider business mailing address

500 ALA MOANA BLVD STE 470
HONOLULU HI
96813-4920
US

V. Phone/Fax

Practice location:
  • Phone: 808-909-9115
  • Fax: 808-909-9116
Mailing address:
  • Phone: 808-909-9115
  • Fax: 808-909-9116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS K NOH
Title or Position: CEO
Credential: MD
Phone: 808-909-9115