Organization
PEDIATRIC PROFESSIONALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE J MATTHEWS JR. M.D. (PRESIDENT)
(808) 593-9944
Entity
Organization
Contact information
Practice address
1350 S KING ST STE 300, HONOLULU, HI 96814-2066
(808) 593-9944
(808) 593-0565
Mailing address
1350 S KING ST STE 300, HONOLULU, HI 96814-2066
(808) 593-9944
(808) 593-0565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD4255
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004481
QHMS 2
HI
01
—
00519101
DSS
HI
05
—
00519101
—
HI
01
—
02534679801
UHA
HI
01
—
04481
HMSA 2
HI
01
—
192509
HMAI
HI
01
—
J4489
HMSA
HI
01
—
MD4255-01
QHCP
HI
Enumeration date
03/22/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up