IndividualActive
Cody Shishido, PA-C
NPI 1013685007 · Surgical Physician Assistant · Honolulu, HI
Provider details
- NPI number
- 1013685007
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone: (808) 432-0000
Approximate (ZIP-level) locationGet directions
Mailing address
3288 Moanalua Rd
Honolulu, HI 96819-1469
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2021-12-08
- Certified
- 2021-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.