Individual provider Active NPI

Richard Anton St Onge, PH.D.

  • Health Educator
  • Haleiwa, HI
National Provider Identifier
1629386255
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
SL003596 Issued in HI
Practice address
59-003 Huelo St
Haleiwa, HI 96712-9711
Phone
(808) 638-5294
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X SL003596 HI Primary

Addresses

Primary practice location

59-003 Huelo St
Haleiwa, HI 96712-9711

Mailing address

59-003 Huelo St
Haleiwa, HI 96712-9711
Phone (808) 638-5294

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SL003596HIMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1629386255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59-003 HUELO ST",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967129711",
            "telephone_number": "808-638-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59-003 HUELO ST",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967129711",
            "telephone_number": "808-638-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST ONGE",
        "first_name": "RICHARD",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "HI",
            "license": "SL003596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.