Individual provider Active NPI

Linda E. Fancher, M.D.

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1073631362
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9061 Issued in HI
Practice address
1010 S King St Ste 220
Honolulu, HI 96814-1703
Phone
(808) 597-8038
Fax
(808) 596-2387
NPI assigned
Mar 26, 2007
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 9061 HI Primary

Addresses

Primary practice location

1010 S King St Ste 220
Honolulu, HI 96814-1703

Mailing address

1010 S King St Ste 220
Honolulu, HI 96814-1703
Phone (808) 597-8038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000589 HI Practitioner - Dermatology 0840230058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oregon Health Sciences University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Dermatology Centers IncGroup PAC ID 3274782586, 12 clinicians

Practice addresses (Care Compare)

4747 Kilauea Ave
Suite 104
Honolulu, HI 96816-5308
Phone (808) 218-7889

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1535
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9061HIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda E Fancher MD LLC Dermatology CurrentSince Jul 1, 2004 Accepting new patients
Hawaii Dermatology Centers, Inc CurrentSince Feb 1, 2025 Accepting new patients
G. Todd Bessinger, MD, PHD, LLC Dermatology PastSince Feb 1, 2025 Accepting new patients

Locations

1010 S King St
Ste 219
Honolulu, HI 96814
Phone (808) 597-8038

1010 S King St
Ste 220
Honolulu, HI 96814
Phone (808) 597-8038

4747 Kilauea Ave
Ste 104
Honolulu, HI 96816
Phone (808) 218-7889

6700 Kalanianaole Hwy
Ste 217
Honolulu, HI 96825
Phone (808) 218-7889

407 Uluniu St
Ste 314
Kailua, HI 96734
Phone (808) 218-7889

970 N Kalaheo Ave
Ste C108
Kailua, HI 96734
Phone (800) 218-7889

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1073631362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST STE 220",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141703",
            "telephone_number": "808-597-8038",
            "fax_number": "808-596-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST STE 220",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141703",
            "telephone_number": "808-597-8038",
            "fax_number": "808-596-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "LINDA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "9061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.