Active NPI
Emily J Goulet, MD
- Reproductive Endocrinology Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD-20682
- Practice address
- 1401 S Beretania St Ste 250
Honolulu, HI 96814-1876 - Phone
- (808) 545-2800
- Fax
- (808) 262-3744
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | BP1-0039517 | TX | |
| Reproductive Endocrinology Physician | 207VE0102X | MD. 34192 | AL | |
| Reproductive Endocrinology Physician | 207VE0102X | MD-20682 | HI | Primary |
Addresses
Primary practice location
1401 S Beretania St Ste 250
Honolulu, HI 96814-1876
Mailing address
1401 S Beretania St Ste 250
Honolulu, HI 96814-1876
Phone (808) 545-2800
Other practice location 1
1319 Punahou St Ste 801
Honolulu, HI 96826-1032
Phone (808) 203-6560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0039517 | TX | MD | Obstetrics & Gynecology Physician |
| MD. 34192 | AL | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Reproductive Medicine and Gynecology of Hawaii, Inc. | Current | Accepting new patients |
Locations
1585 Kapiolani Blvd
Ste 1800
Honolulu, HI 96814
Phone (808) 545-2800
1401 S Beretania St
Ste 250
Honolulu, HI 96814
Phone (808) 545-2800
407 Uluniu St
Ste 312
Kailua, HI 96734
Phone (808) 262-0544
Interoperability endpoints
- emily.goulet@fih.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fertility Institute of Hawaii
- Ambulatory Fertility Facility
- Honolulu, HI
- NPI 1639327869
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1548215692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1366732224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST STE 250",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141876",
"telephone_number": "808-545-2800",
"fax_number": "808-262-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST STE 250",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141876",
"telephone_number": "808-545-2800",
"fax_number": "808-262-3744"
}
],
"practiceLocations": [
{
"address_1": "1319 Punahou St Ste 801",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968261032",
"country_code": "US",
"telephone_number": "808-203-6560",
"fax_number": "808-951-1637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOULET",
"first_name": "EMILY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "BP1-0039517",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "AL",
"license": "MD. 34192",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "HI",
"license": "MD-20682",
"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 Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.