John Thomas Berthiaume, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3680 Issued in HI

Practice address

818 Keeaumoku St
Suite 517
Honolulu, HI 96814-2393

Phone

(808) 948-5287

Fax

(808) 948-6887

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1558534743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 KEEAUMOKU ST",
            "address_2": "SUITE 517",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142393",
            "telephone_number": "808-948-5287",
            "fax_number": "808-948-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 KEEAUMOKU ST",
            "address_2": "SUITE 517",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142393",
            "telephone_number": "808-948-5287",
            "fax_number": "808-948-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHIAUME",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "3680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.