Healthcare Provider Details

I. General information

NPI: 1215427992
Provider Name (Legal Business Name): JOHN PAUL LIVINGSTONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S BERETANIA ST STE 201
HONOLULU HI
96813-2496
US

IV. Provider business mailing address

550 S BERETANIA ST STE 201
HONOLULU HI
96813-2496
US

V. Phone/Fax

Practice location:
  • Phone: 408-768-2017
  • Fax:
Mailing address:
  • Phone: 808-744-0066
  • Fax: 408-351-6995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMDR-7526
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD228473
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: