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1619859857 NPI number — WORKSTAR OCCUPATIONAL HEALTH SYSTEMS, INC.

NPI Number: 1619859857
Health Care Provider/Practitioner: WORKSTAR OCCUPATIONAL HEALTH SYSTEMS, INC.

Information about “1619859857” NPI (WORKSTAR OCCUPATIONAL HEALTH SYSTEMS, INC.) exists in 1619859857 in HTML format HTML  |  1619859857 in plain Text format TXT  |  1619859857 in PDF (Portable Document Format) PDF  |  1619859857 in an XML format XML  formats.

NPI Number : 1619859857 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619859857",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "WORKSTAR OCCUPATIONAL HEALTH SYSTEMS, INC.",
    "ParentOrgTIN": null,
    "OrgName": "WORKSTAR OCCUPATIONAL HEALTH SYSTEMS, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 31000",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96849-5812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-676-5331",
    "MailingAddressFaxNumber": "808-671-2931",
    "FirstLinePracticeLocationAddress": "100 KAHELU AVE STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILILANI",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96789-3913",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-427-6637",
    "PracticeLocationAddressFaxNumber": "808-840-0602",
    "EnumerationDate": "07/21/2025",
    "LastUpdateDate": "07/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WINCHESTER",
    "AuthorizedOfficialFirstName": "JAYLIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF OPERATING OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "808-676-5331",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2083X0100X",
          "TaxonomyName": "Occupational Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208VP0014X",
          "TaxonomyName": "Interventional Pain Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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