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DR. ETHAN THACHER ROUTT MD NPI 1194112391


NPI Information

NPI: 1194112391
Provider Name: DR. ETHAN THACHER ROUTT, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
2226 LILIHA ST STE 302
HONOLULU, HI
ZIP 96817
Phone: (808) 585-8008
Get Directions

DR. Ethan Thacher Routt, MD is a mohs-micrographic surgery dermatology in Honolulu, HI with 9 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Ethan Thacher Routt, MD NPI is 1194112391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

2226 LILIHA ST STE 302
HONOLULU, HI
ZIP 96817-605
Phone: (808) 585-8008

The NPI 1194112391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2015 and was last updated on 10/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMD-20864HAWAIINo
2207ND0101XDermatologyMOHS-Micrographic SurgeryMD-20864HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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