Organization Active NPI

West Oahu Radiology LLC

  • Nuclear Radiology Physician
  • Waipahu, HI
National Provider Identifier
1083016380
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
MD4202 Issued in HI
Legal business name
WEST OAHU RADIOLOGY LLC
Practice address
94-229 Waipahu Depot St
Suite 101
Waipahu, HI 96797-3031
Phone
(808) 591-1504
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Stephen M Holmes, M.D.
Title
Member
Phone
(808) 591-1504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085N0904X MD4202 HI Primary

Addresses

Primary practice location

94-229 Waipahu Depot St
Suite 101
Waipahu, HI 96797-3031

Mailing address

94-229 Waipahu Depot St
Suite 101
Waipahu, HI 96797-3031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1083016380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST",
            "address_2": "SUITE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST",
            "address_2": "SUITE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973031",
            "telephone_number": "808-591-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OAHU RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-591-1504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "HI",
            "license": "MD4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.