Healthcare Provider Details

I. General information

NPI: 1902249725
Provider Name (Legal Business Name): KRISTA SCHOPPY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 01/17/2020
Certification Date: 01/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 YOUNG ST
HONOLULU HI
96814-1916
US

IV. Provider business mailing address

888 KAPIOLANI BLVD APT 2908
HONOLULU HI
96813-6045
US

V. Phone/Fax

Practice location:
  • Phone: 808-591-7702
  • Fax:
Mailing address:
  • Phone: 808-226-7943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD20673
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: