Gordan J Trockman MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2980 Issued in HI

Legal business name

GORDAN J TROCKMAN MD INC

Practice address

970 N Kalaheo Avenue
Suite A102
Kailua, HI 96734

Phone

(808) 254-6484

Fax

(808) 254-6427

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gordon J Trockman, MD

Title

Owner

Phone

(808) 523-9363

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053406538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MILILANI STREET",
            "address_2": "SUITE 702A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-523-9363",
            "fax_number": "808-523-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVENUE",
            "address_2": "SUITE A102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-254-6484",
            "fax_number": "808-254-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDAN J TROCKMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROCKMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-523-9363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD2980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03754201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "0000041319",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03754202",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Golden, APRN
• Dishon Gonzalez, APRN
• Ryland Vance Goo
• Shane Goo
• Brian Goodyear, PH.D.
• Joy A Gordon, PA-C
• Antonio Gornet
• Got Quality Massage
• Bracken Gott, PSY.D.
• Darin Gould, M.D.

• Psychiatry Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.