Organization Active NPI

Oahu Gastroenterology Inc

  • Gastroenterology Physician
  • Honolulu, HI
National Provider Identifier
1083769756
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD12308 Issued in HI
Legal business name
OAHU GASTROENTEROLOGY INC
Practice address
405 N Kuakini St
Suite 1108
Honolulu, HI 96817-6300
Phone
(808) 548-6008
Fax
(808) 548-6006
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Roland Boon Chuan Ter, MDNPI 1861580565
Title
President
Phone
(808) 548-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD12308 HI Primary

Addresses

Primary practice location

405 N Kuakini St
Suite 1108
Honolulu, HI 96817-6300

Mailing address

111 Hekili St
Suite a, #398
Kailua, HI 96734-2800
Phone (808) 741-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070604000314 HI Part B Supplier - Clinic/Group Practice 7618075391 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

405 N Kuakini St
Ste 1108
Honolulu, HI 96817
Phone (808) 440-1141

111 Hekili St
Ste A
Kailua, HI 96734
Phone (808) 254-8088

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1083769756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST",
            "address_2": "SUITE A, #398",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "808-741-4292",
            "fax_number": "808-548-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 1108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-548-6008",
            "fax_number": "808-548-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAHU GASTROENTEROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "TER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "BOON CHUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-548-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "MD12308",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.