Organization Active NPI

Wahiawa General Hospital

  • Family Medicine Physician
  • Mililani, HI
National Provider Identifier
1174589014
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAHIAWA GENERAL HOSPITAL
Practice address
95-390 Kuahelani Ave
Mililani, HI 96789-1192
Phone
(808) 627-3200
NPI assigned
Apr 20, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
WAHIAWA GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Robert D. Olden
Title
Chief Executive Officer
Phone
(808) 621-8411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

95-390 Kuahelani Ave
Mililani, HI 96789-1192

Mailing address

128 Lehua St
Wahiawa, HI 96786-2036
Phone (808) 621-8411

National Provider Directory

National Provider Directory
Part of
Mililani Family Clinic

Locations

95-390 Kuahelani Ave
Mililani, HI 96789
Phone (808) 621-8411

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wahiawa-2d8a6fe9

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1174589014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LEHUA ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862036",
            "telephone_number": "808-621-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-627-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIAWA GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAHIAWA GENERAL HOSPITAL",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "OLDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-621-8411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.