Organization Active NPI

Keith K. Abe, MD, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Honolulu, HI
National Provider Identifier
1215128210
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD-12767 Issued in HI
Legal business name
KEITH K. ABE, MD, LLC
Practice address
1319 Punahou St Ste 999
Honolulu, HI 96826-1077
Phone
(808) 947-1402
Fax
(808) 941-9304
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Keith K Abe, M.D.
Title
Owner
Phone
(808) 947-1402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MD-12767 HI
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X MD-12767 HI Primary

Addresses

Primary practice location

1319 Punahou St Ste 999
Honolulu, HI 96826-1077

Mailing address

1319 Punahou St Ste 999
Honolulu, HI 96826-1077
Phone (808) 947-1402

Other identifiers 1

IdentifierTypeStateIssuer
59478001MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1215128210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 999",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077",
            "telephone_number": "808-947-1402",
            "fax_number": "808-941-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 999",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077",
            "telephone_number": "808-947-1402",
            "fax_number": "808-941-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH K. ABE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "ABE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-947-1402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-12767",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "HI",
            "license": "MD-12767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59478001",
            "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 Apr 7, 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.