Dr Ethan Thacher Routt, MD | |
2226 Liliha St Ste 302, Honolulu, HI 96817-1605 | |
(808) 585-8008 | |
Not Available |
Full Name | Dr Ethan Thacher Routt |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 9 Years |
Location | 2226 Liliha St Ste 302, Honolulu, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194112391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD-20864 (Hawaii) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD-20864 (Hawaii) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden Dermatology Llc | 3375811243 | 2 |
Entity Name | Golden Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154866473 PECOS PAC ID: 3375811243 Enrollment ID: O20170616002155 |
Mailing Address | Practice Location Address |
---|---|
Dr Ethan Thacher Routt, MD 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 Ph: (808) 585-8008 | Dr Ethan Thacher Routt, MD 2226 Liliha St Ste 302, Honolulu, HI 96817-1605 Ph: (808) 585-8008 |
Dr. Jay L. Grekin, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 888 S King St, Honolulu, HI 96813 Phone: 808-522-4360 Fax: 808-522-3361 | |
Bradley S. Lau, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000 | |
Dr. Geoffrey Strider Farnsworth, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Honolulu, HI 96819 Phone: 808-433-6661 | |
Dr. Linda E. Fancher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1010 S King St Ste 220, Honolulu, HI 96814 Phone: 808-597-8038 Fax: 808-596-2387 | |
Janice Matsunaga, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1329 Lusitana St, Suite 507, Honolulu, HI 96813 Phone: 808-532-0155 Fax: 808-532-0160 | |
Dylan Lee, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1380 Lusitana St Ste 401, Honolulu, HI 96813 Phone: 808-531-7541 Fax: 808-531-7542 | |
Shelbi Ching Jim On, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3221 Waialae Ave Ste 382, Honolulu, HI 96816 Phone: 808-940-0961 Fax: 808-201-4951 |