NPIMap

Organization Active NPI

John C Purtzer D O Inc

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1619279767
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DOS 437 Issued in HI
Legal business name
JOHN C PURTZER D O INC
Practice address
1188 Bishop St
Suite 3202
Honolulu, HI 96813-3301
Phone
(808) 533-1711
Fax
(808) 537-3125
NPI assigned
Nov 23, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
John C Purtzer, D.O.
Title
President
Phone
(808) 533-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X DOS 437 HI Primary

Addresses

Primary practice location

1188 Bishop St
Suite 3202
Honolulu, HI 96813-3301

Mailing address

1188 Bishop St
Suite 3202
Honolulu, HI 96813-3301
Phone (808) 533-1711

Other identifiers 2

IdentifierTypeStateIssuer
0000048819OtherHIHAWAII MEDICAL SERVICE ASSOCIATION
04368002MedicaidHI

National Provider Directory

National Provider Directory

Locations

1188 Bishop St
Ste 3202
Honolulu, HI 96813
Phone (808) 533-1711

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1619279767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE 3202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133301",
            "telephone_number": "808-533-1711",
            "fax_number": "808-537-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE 3202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133301",
            "telephone_number": "808-533-1711",
            "fax_number": "808-537-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C PURTZER D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "PURTZER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-533-1711",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "DOS 437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE ASSOCIATION",
            "identifier": "0000048819",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04368002",
            "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 Dec 8, 2010; 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.