Organization Active NPI

Boyd. J. Slomoff M.D. Inc.

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1013195288
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD#4063 Issued in HI
Legal business name
BOYD. J. SLOMOFF M.D. INC.
Practice address
220 S. King Street
Suite #980
Honolulu, HI 96813
Phone
(808) 551-5168
Fax
(808) 521-8046
NPI assigned
Feb 9, 2008
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Tamera L Meznarich
Title
Biller
Phone
(808) 738-0501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD4063 HI
Psychiatry Physician 2084P0800X MD#4063 HI Primary

Addresses

Primary practice location

220 S. King Street
Suite #980
Honolulu, HI 96813

Mailing address

4348 Waialae #565
Honolulu, HI 96816
Phone (808) 738-0501

Other identifiers 2

IdentifierTypeStateIssuer
047069801MedicaidHI
HMSA-B053484OtherHIHMSA

National Provider Directory

National Provider Directory

Locations

220 S King St
Ste 980
Honolulu, HI 96813
Phone (808) 551-5168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1013195288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE #565",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-738-0501",
            "fax_number": "808-738-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S. KING STREET",
            "address_2": "SUITE #980",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-551-5168",
            "fax_number": "808-521-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD. J. SLOMOFF M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MEZNARICH",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "808-738-0501",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "HI",
            "license": "MD4063",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD#4063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047069801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "HMSA-B053484",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.