Provider Demographics
NPI:1356526347
Name:PAUL T. MORRIS, MD INC
Entity type:Organization
Organization Name:PAUL T. MORRIS, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:O'NEAL-MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-521-4664
Mailing Address - Street 1:1380 LUSITANA ST STE 507
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2441
Mailing Address - Country:US
Mailing Address - Phone:808-251-4664
Mailing Address - Fax:808-521-4726
Practice Address - Street 1:1380 LUSITANA ST STE 507
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2441
Practice Address - Country:US
Practice Address - Phone:808-251-4664
Practice Address - Fax:808-521-4726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD82282086X0206X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03998401Medicaid
1952403438OtherINDIVIDUAL NPI
HIH50515Medicare UPIN