Hawaii Childrens Blood & Cancer

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

MD8054 Issued in HI

Legal business name

HAWAII CHILDRENS BLOOD & CANCER

Practice address

1319 Punahou Street
Suite 1050
Honolulu, HI 96826

Phone

(808) 942-8773

Fax

(808) 983-8005

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Kelley Ann Woodruff, MD

Title

MD

Phone

(808) 983-8773

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1740343102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET",
            "address_2": "SUITE 1050",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-942-8144",
            "fax_number": "808-955-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET",
            "address_2": "SUITE 1050",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-942-8773",
            "fax_number": "808-983-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII CHILDRENS BLOOD & CANCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "808-983-8773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "HI",
            "license": "MD8054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340992",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hawaii Cancer Care Inc
• Hawaii Cardiology LLC
• Hawaii Care Clinic Inc
• Hawaii Cellular Therapy and Transplant Laboratory
• Hawaii Center for Healing, LLC
• Hawaii Childrens Dentistry
• Hawaii Clinical Psychology, LLC
• Hawaii Communication Bridge LLC
• Hawaii Counseling and Wellness Center LLC
• Hawaii Dance Physio, LLC

• Pediatric Hematology & Oncology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatric Hematology & Oncology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.