DR. CLYDE H. ISHII JR. M.D. - NPI 1366450330

Q: What is Clyde Ishii's NPI number?

The NPI number for Clyde Ishii is 1366450330. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Clyde Ishii's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Ishii was last updated on December 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Clyde H. Ishii Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLYDE H. ISHII JR. M.D. (NPI 1366450330) is an individual specialist in Honolulu, Hawaii, licensed in Hawaii (5352) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366450330

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. CLYDE H. ISHII JR.Credential: M.D.

Location Address1329 LUSITANA ST STE 304Honolulu, HI 96813-2411

Mailing Address1329 Lusitana St Ste 304Honolulu, HI 96813-2411 · (808) 537-6630 · Fax (808) 536-4084

Phone(808) 537-6630

Fax(808) 536-4084

Sole ProprietorYes

Enumeration DateAugust 4, 2006

Last NPPES UpdateDecember 21, 2007

✔ NPI 1366450330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in HI · 5352

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1329 LUSITANA ST STE 304, Honolulu, HI 96813

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Other Identifiers 2

Medicare ID-Type UnspecifiedH0000BDRWGHI

Medicare UPIND43447HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clyde H. Ishii Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CEDRIC SAN FELIPE LORENZO M.D.

Surgery