Healthcare Provider Details

I. General information

NPI: 1457819880
Provider Name (Legal Business Name): JOSEPH RYAN HITT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE ROAD
TRIPLER AMC HI
96859-5000
US

IV. Provider business mailing address

1 JARRETT WHITE RD
TRIPLER AMC HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-1252
  • Fax:
Mailing address:
  • Phone: 808-433-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA178752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: