Phyllis Hoeflich Barr, DO

Individual provider Active NPI Family Medicine Physician · Tripler Army Medical Center, HI

NPI 1962491324 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1962491324
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
DOS-727 (HI)
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-6661
Fax
(808) 433-1551
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180403001230 HI Order and Referring Only - Family Practice
Practitioner - Family Practice
1951687250

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DOS727HIMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS727 HI
Family Medicine Physician 207Q00000X DOS-727 HI Yes

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Mailing address

110 Hanupaoa PL
Honolulu, HI 96822-1578
Phone (808) 988-6006

Other practice location 1

Building 683 Waianae Avenue
Schofield Barracks, HI 96786
Phone (808) 433-8500

Other providers in Tripler Army Medical Center, HI

All providers in Tripler Army Medical Center, HI · Family Medicine Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.