Active NPI
Kevin Woolley, M.D.
- Anesthesiology Physician
- Honolulu, HI
National Provider Identifier
1669654141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD-03378
- Practice address
- 1329 Lusitana St
Suite 604
Honolulu, HI 96813-2429 - Phone
- (808) 531-1116
- Fax
- (808) 524-7911
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-03378 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 604
Honolulu, HI 96813-2429
Mailing address
1329 Lusitana St
Suite 604
Honolulu, HI 96813-2429
Phone (808) 531-1116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04564901 | Medicaid | HI |
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 |
|---|---|---|---|
| MD-03378 | HI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1669654141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 604",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-531-1116",
"fax_number": "808-524-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 604",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-531-1116",
"fax_number": "808-524-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLLEY",
"first_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "MD-03378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04564901",
"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 Nov 27, 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.