NPIMap

Organization Active NPI

Anne a Tanabe MD Inc

Doing business as Skinny Dip Skin Clinic

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1104916196
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11057 Issued in HI
Legal business name
ANNE A TANABE MD INC
Doing business as
Skinny Dip Skin Clinic
Practice address
321 N Kuakini St Ste 402
Honolulu, HI 96817-2386
Phone
(808) 536-7546
Fax
(808) 536-7553
NPI assigned
Oct 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Anne A. Tanabe, M.D.NPI 1124047634
Title
President, Anne a Tanabe MD Inc.
Phone
(808) 536-7556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD11057 HI Primary

Addresses

Primary practice location

321 N Kuakini St Ste 402
Honolulu, HI 96817-2386

Mailing address

321 N Kuakini St Ste 402
Honolulu, HI 96817-2386
Phone (808) 536-7546

Other names 1

  • Skinny Dip Skin Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

733 Bishop St
Ste 2945
Honolulu, HI 96813

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104916196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 402",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172386",
            "telephone_number": "808-536-7546",
            "fax_number": "808-536-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 402",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172386",
            "telephone_number": "808-536-7546",
            "fax_number": "808-536-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE A TANABE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TANABE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT, ANNE A TANABE MD INC.",
        "authorized_official_telephone_number": "808-536-7556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD11057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skinny Dip Skin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.