| 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 | 11 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. 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 | |
Dr. Iris Kimhayoung Noh, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 Ala Moana Blvd Ste 4-470, Honolulu, HI 96813 Phone: 808-495-0906 Fax: 808-495-4849 | |
Dylan Lee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1380 Lusitana St Ste 401, Honolulu, HI 96813 Phone: 808-531-7541 Fax: 808-531-7542 | |
Kaitlyn Yim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1319 Punahou St Ste 1000, Honolulu, HI 96826 Phone: 808-451-3178 Fax: 808-427-6064 |