Active NPI
Rupert Rudolf Goetz, M.D.
- Psychiatry Physician
- Kaneohe, HI
National Provider Identifier
1760506984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12436
- Practice address
- 45-710 Keaahala Rd
Kaneohe, HI 96744-3528 - Phone
- (808) 236-8246
- NPI assigned
- Mar 16, 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 | 12436 | HI | Primary |
Addresses
Primary practice location
45-710 Keaahala Rd
Kaneohe, HI 96744-3528
Mailing address
PO Box 154
Kaaawa, HI 96730-0154
Phone (808) 237-7083
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 |
|---|---|---|---|
| 12436 | HI | MD | Psychiatry Physician |
| 14471 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760506984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 154",
"city": "KAAAWA",
"state": "HI",
"postal_code": "967300154",
"telephone_number": "808-237-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-710 KEAAHALA RD",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443528",
"telephone_number": "808-236-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "RUPERT",
"middle_name": "RUDOLF",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "12436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, 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.