NPIMap

Organization Active NPI

Gary L. Greenly, D.O., Inc

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1871830794
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
525 Issued in HI
Legal business name
GARY L. GREENLY, D.O., INC
Practice address
549 Halemaumau St
C-1
Honolulu, HI 96821-2150
Phone
(808) 373-2167
Fax
(808) 373-3330
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Dr. Gary L. Greenly, D.O.
Title
Physician
Phone
(808) 373-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 525 HI Primary

Addresses

Primary practice location

549 Halemaumau St
C-1
Honolulu, HI 96821-2150

Mailing address

549 Halemaumau St
C-1
Honolulu, HI 96821-2150
Phone (808) 373-2167

National Provider Directory

National Provider Directory

Locations

549 Halemaumau St
Ste C1
Honolulu, HI 96821
Phone (808) 373-2167

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1871830794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 HALEMAUMAU ST",
            "address_2": "C-1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212150",
            "telephone_number": "808-373-2167",
            "fax_number": "808-373-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 HALEMAUMAU ST",
            "address_2": "C-1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212150",
            "telephone_number": "808-373-2167",
            "fax_number": "808-373-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. GREENLY, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "GREENLY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-373-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2013; 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.