Insight Eeg LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

INSIGHT EEG LLC

Practice address

1010 S King St Ste 218a
Honolulu, HI 96814-1703

Phone

(808) 593-9944

Fax

(808) 593-9955

NPI assigned

Dec 19, 2017

Last updated

Dec 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Hannum

Title

Owner

Phone

(808) 277-6816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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.

• Stephen M Holmes, MD

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1174576953
  NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1528574100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31000 MAIL CODE 5765",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968490001",
            "telephone_number": "808-593-9944",
            "fax_number": "808-593-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST STE 218A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141703",
            "telephone_number": "808-593-9944",
            "fax_number": "808-593-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT EEG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "HANNUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-277-6816"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physiological Laboratory in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.