Active NPI
David Andrew Wolkoff, M.D.
- Psychiatry Physician
- Ewa Beach, HI
National Provider Identifier
1548326754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD10028
- Practice address
- 91-2301 Fort Weaver Rd
Ewa Beach, HI 96706-3602 - Phone
- (808) 671-8511
- Fax
- (808) 677-2574
- NPI assigned
- Dec 29, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD10028 | HI | Primary |
Addresses
Primary practice location
91-2301 Fort Weaver Rd
Ewa Beach, HI 96706-3602
Mailing address
91-2301 Fort Weaver Rd
Ewa Beach, HI 96706-3602
Phone (808) 671-8511
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD10028 | Other | HI | MDX HAWAII |
| 495897-01 | Medicaid | HI | |
| 990298651-96706-E055 | Other | HI | TRICARE |
| 0000231746 | Other | HI | HMSA |
| 04958973 | Other | HI | ALOHACARE |
| 0000231746 | Other | HI | HMSA-QUEST |
| 073261 | Other | HI | UNIVERSITY HEALTH ALLIANC |
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 |
|---|---|---|---|
| MD10028 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548326754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-2301 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063602",
"telephone_number": "808-671-8511",
"fax_number": "808-677-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-2301 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063602",
"telephone_number": "808-671-8511",
"fax_number": "808-677-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLKOFF",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD10028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX HAWAII",
"identifier": "MD10028",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495897-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "990298651-96706-E055",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000231746",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "04958973",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA-QUEST",
"identifier": "0000231746",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANC",
"identifier": "073261",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.