Active NPI
Eugene Altman, M.D.
- Psychiatry Physician
- Honolulu, HI
National Provider Identifier
1720128358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD - 2472
- Practice address
- 1001 Bishop St
Suite 1125
Honolulu, HI 96813-3429 - Phone
- (808) 587-7077
- Fax
- (808) 587-7076
- NPI assigned
- Feb 6, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD - 2472 | HI | Primary |
Addresses
Primary practice location
1001 Bishop St
Suite 1125
Honolulu, HI 96813-3429
Mailing address
1001 Bishop St
Suite 1125
Honolulu, HI 96813-3429
Phone (808) 587-7077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03413202 | 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 - 2472 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720128358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BISHOP ST",
"address_2": "SUITE 1125",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133429",
"telephone_number": "808-587-7077",
"fax_number": "808-587-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BISHOP ST",
"address_2": "SUITE 1125",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133429",
"telephone_number": "808-587-7077",
"fax_number": "808-587-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD - 2472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03413202",
"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 Jul 8, 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.