Organization Active NPI

Ronald Y S Chock MD Inc

  • Otolaryngology Physician
  • Honolulu, HI
National Provider Identifier
1114036811
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5074 Issued in HI
Legal business name
RONALD Y S CHOCK MD INC
Practice address
321 N Kuakini St
#512
Honolulu, HI 96817-2364
Phone
(808) 537-2895
Fax
(808) 537-2010
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Ronald Chock, M.DNPI 1891812236
Title
President
Phone
(808) 537-2895

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 5074 HI Primary

Addresses

Primary practice location

321 N Kuakini St
#512
Honolulu, HI 96817-2364

Mailing address

321 N Kuakini St
#512
Honolulu, HI 96817-2364
Phone (808) 537-2895

Other identifiers 2

IdentifierTypeStateIssuer
01900702MedicaidHI
2039-6OtherHIHMSA BLUE CROSS INS NUMBE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000384 HI Part B Supplier - Clinic/Group Practice 4284642422 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1114036811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "#512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-537-2895",
            "fax_number": "808-537-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "#512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-537-2895",
            "fax_number": "808-537-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD Y S CHOCK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "CHOCK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-537-2895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "5074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01900702",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BLUE CROSS INS NUMBE",
            "identifier": "2039-6",
            "state": "HI"
        }
    ],
    "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 Oct 3, 2007; 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.