Physician Compare National (NPI:1689681439)

HEALTHCARE PROVIDER: RICHARD ETSUO ANDO JR. MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689681439
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173525482
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070215000012
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANDO
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
	Individual professional's medical school
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	405 N KUAKINI ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 903
	Group Practice or individual's line 2 address
City	HONOULU
	Group Practice or individual's city
State	HI
	Group Practice or individual's state
Zip Code	968176302
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y