Healthcare Provider Details

I. General information

NPI: 1083856439
Provider Name (Legal Business Name): JASON LEE PIRGA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST
HONOLULU HI
96813-3097
US

IV. Provider business mailing address

PO BOX 8436
HONOLULU HI
96830-0436
US

V. Phone/Fax

Practice location:
  • Phone: 808-522-4000
  • Fax: 808-522-4277
Mailing address:
  • Phone: 808-522-4000
  • Fax: 808-522-4277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD-16519
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-16519
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: