Healthcare Provider Details

I. General information

NPI: 1760410955
Provider Name (Legal Business Name): ORTHOPEDIC ASSOCIATES OF HAWAII, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST SUITE 608
HONOLULU HI
96813-2421
US

IV. Provider business mailing address

1380 LUSITANA ST SUITE 608
HONOLULU HI
96813-2421
US

V. Phone/Fax

Practice location:
  • Phone: 808-536-2261
  • Fax: 808-538-3957
Mailing address:
  • Phone: 808-536-2261
  • Fax: 808-538-3957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT E ATKINSON
Title or Position: PARTNER
Credential: MD
Phone: 808-536-2261