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

Mr. Timothy R. Smith, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1962583302

Mr. Timothy R. Smith, PHYSICIANASSISTANT is a Physician Assistant in Honolulu, Hawaii. Qualified in 1993, 33 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
33
Licensed in
OR
In the registry since
2006
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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

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00687 (OR)

Record details

NPI number1962583302
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Honolulu