Organization Active NPI

Marc B. Shlachter, M.D., Inc.

  • Family Medicine Physician
  • Laie, HI
National Provider Identifier
1043304900
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARC B. SHLACHTER, M.D., INC.
Practice address
55-510 Kamehameha Hwy
Laie, HI 96762-1138
Phone
(808) 293-8558
Fax
(808) 293-2573
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Marc Brian Shlachter, M.D.
Title
President/MD
Phone
(808) 293-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X HI Primary

Addresses

Primary practice location

55-510 Kamehameha Hwy
Laie, HI 96762-1138

Mailing address

55-510 Kamehameha Hwy
Laie, HI 96762-1138
Phone (808) 293-8558

National Provider Directory

National Provider Directory

Locations

55-510 Kamehameha Hwy
Ste 17
Laie, HI 96762
Phone (808) 293-9500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1043304900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621138",
            "telephone_number": "808-293-8558",
            "fax_number": "808-293-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621138",
            "telephone_number": "808-293-8558",
            "fax_number": "808-293-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC B. SHLACHTER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "SHLACHTER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "808-293-8558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laie, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.