Active NPI
William Fong, MD
- Obstetrics & Gynecology Physician
- Honolulu, HI
National Provider Identifier
1477536472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3561
- Practice address
- 1319 Punahou St
Suite 990
Honolulu, HI 96826-1001 - Phone
- (808) 946-1481
- Fax
- (808) 955-9776
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3561 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St
Suite 990
Honolulu, HI 96826-1001
Mailing address
1319 Punahou St
Suite 990
Honolulu, HI 96826-1001
Phone (808) 946-1481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041975 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3561 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1477536472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "SUITE 990",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001",
"telephone_number": "808-946-1481",
"fax_number": "808-955-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "SUITE 990",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001",
"telephone_number": "808-946-1481",
"fax_number": "808-955-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "3561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041975",
"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 Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.