Active NPI
Richard S Oh MD LLC
- Medical Specialty Clinic/Center
- Ewa Beach, HI
National Provider Identifier
1073881009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MD7689
- Legal business name
- RICHARD S OH MD LLC
- Practice address
- 91-2139 Fort Weaver Rd
Suite 309
Ewa Beach, HI 96706-3607 - Phone
- (808) 677-7793
- Fax
- (808) 677-7868
- NPI assigned
- Dec 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard S Oh, M,D.
- Title
- Owner
- Phone
- (808) 677-7793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | MD7689 | HI | Primary |
Addresses
Primary practice location
91-2139 Fort Weaver Rd
Suite 309
Ewa Beach, HI 96706-3607
Mailing address
91-2139 Fort Weaver Rd
Suite 309
Ewa Beach, HI 96706-3607
Phone (808) 677-7793
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0969598 | Richard S Oh MD | Certificate of waiver | Jan 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
91-2139 Fort Weaver Rd
Ste 309
Ewa Beach, HI 96706
Phone (808) 677-7793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1073881009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-2139 FORT WEAVER RD",
"address_2": "SUITE 309",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063607",
"telephone_number": "808-677-7793",
"fax_number": "808-677-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-2139 FORT WEAVER RD",
"address_2": "SUITE 309",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063607",
"telephone_number": "808-677-7793",
"fax_number": "808-677-7868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD S OH MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-677-7793",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M,D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "HI",
"license": "MD7689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.