Active NPI
Gary M Cabot, M.D.
- Anesthesiology Physician
- Honolulu, HI
National Provider Identifier
1710915350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD-4869
- Practice address
- 2226 Liliha St
Suite 307
Honolulu, HI 96817-1600 - Phone
- (808) 531-5823
- NPI assigned
- Jun 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-4869 | HI | Primary |
| Pain Medicine Physician | 208VP0000X | MD4869 | HI | |
| Interventional Pain Medicine Physician | 208VP0014X | MD4869 | HI |
Addresses
Primary practice location
2226 Liliha St
Suite 307
Honolulu, HI 96817-1600
Mailing address
PO Box 10813
Honolulu, HI 96816-0813
Phone (424) 206-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004904801 | Medicaid | HI | |
| 00B0014593 | Other | HI | HMSA |
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-4869 | HI | MD | Anesthesiology Physician |
| MD4869 | HI | MD | Pain Medicine Physician |
| 4869 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1710915350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10813",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968160813",
"telephone_number": "424-206-1919",
"fax_number": "310-303-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 LILIHA ST",
"address_2": "SUITE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171600",
"telephone_number": "808-531-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABOT",
"first_name": "GARY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "MD-4869",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "HI",
"license": "MD4869",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "HI",
"license": "MD4869",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004904801",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00B0014593",
"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 Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.