DRT Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10645 Issued in HI

Legal business name

DRT MEDICAL LLC

Practice address

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993

Phone

(808) 678-7000

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Thomas W Spheeris, MD

Title

Owner

Phone

(808) 382-9636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1104083856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25490",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250490",
            "telephone_number": "808-536-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2141 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061993",
            "telephone_number": "808-678-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SPHEERIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-382-9636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "10645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Akira Endo Domingo, PHARMD
• Deborah Rhea Dominici, RN, IBCLC
• Sandi Dotson
• Alayna Dotzert
• Anthony Drouin, RBT
• Marie Drumeller
• Laretta Joan Dubin, RN
• Magdalena Duldulao
• Anna Dumaw
• Franklin Dumlao

• Family Medicine Physician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.