Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody A. Shishido, PA-C

Individual provider Surgical Physician Assistant · NPI 1013685007

Cody A. Shishido, PA-C is a Physician Assistant in Honolulu, Hawaii. Qualified in 2021, 5 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii.

Years since qualifying
5
Licensed in
HI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone: (808) 432-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence AMD-1092 (HI)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1013685007
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 2, 2021
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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