Active NPI
Marc Brian Shlachter, M.D.
- Family Medicine Physician
- Laie, HI
National Provider Identifier
1700970621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2017
- Practice address
- 55-510 Kamehameha Hwy
Laie, HI 96762-1138 - Phone
- (808) 293-8558
- Fax
- (808) 293-2573
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2017 | HI | Primary |
Addresses
Primary practice location
55-510 Kamehameha Hwy
Laie, HI 96762-1138
Mailing address
55-510 Kamehameha Hwy
Laie, HI 96762-1138
Phone (808) 293-8558
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034553 | Other | HI | HMSA NUMBER |
| 03110701 | Medicaid | HI | |
| 2663 | Other | HI | DMBA |
| 0000034553 | Other | HI | HMSA QUEST NUMBER |
| 034553 | Other | HI | BLUE |
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 |
|---|---|---|---|
| MD2017 | HI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1700970621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55-510 KAMEHAMEHA HWY",
"city": "LAIE",
"state": "HI",
"postal_code": "967621138",
"telephone_number": "808-293-8558",
"fax_number": "808-293-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55-510 KAMEHAMEHA HWY",
"city": "LAIE",
"state": "HI",
"postal_code": "967621138",
"telephone_number": "808-293-8558",
"fax_number": "808-293-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHLACHTER",
"first_name": "MARC",
"middle_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD2017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA NUMBER",
"identifier": "034553",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03110701",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "2663",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA QUEST NUMBER",
"identifier": "0000034553",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE",
"identifier": "034553",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laie, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.