Provider Demographics
NPI:1780610048
Name:FINIGAN, ELIZABETH G (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:G
Last Name:FINIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4306
Mailing Address - Country:US
Mailing Address - Phone:808-522-4000
Mailing Address - Fax:
Practice Address - Street 1:55 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4306
Practice Address - Country:US
Practice Address - Phone:808-522-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237924207Q00000X, 207P00000X
HI19116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02747840Medicaid
NY02747840Medicaid
NYMDJ186OtherPREFERRED CARE
NYMDJ186OtherPREFERRED CARE OPTION
NYP010237924OtherBLUE CHOICE
NYP010237924OtherBLUE CROSS BLUE SHIELD
NYP010237924OtherBLUE CHOICE OPT