Ann C Brewer MD Inc
Organization Active NPI Dermatology Physician · Makawao, HI
NPI 1376280669 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1376280669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- ANN C BREWER MD INC
- Practice address
- 30 Kupaoa St # A207
Makawao, HI 96768-6216 - Phone
- (808) 207-6563
- NPI assigned
- May 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Ann Brewer, MD
- Title
- Ceo
- Phone
- (808) 207-6563
Practitioners 3
-
Crystal Ai Yaple Yamada, APRN
-
Ann Chang Brewer, M.D.
-
Heidi Sarkozy, PHYSICIAN ASSISTANT
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D2278281 | Ann C Brewer MD Inc Dba Maui Skin Clinic | Provider-performed microscopy | Mar 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230127001489 | HI | Part B Supplier - Clinic/Group Practice | 7517341167 |
Receives reassigned benefits from 2 practitioners Practice locations: Makawao, HI |
National Provider Directory
Locations
30 Kupaoa St
Ste 207
Makawao, HI 96768
30 Kupaoa St
#A208
Makawao, HI 96768
Phone (808) 207-6563
30 Kupaoa St
#A207
Makawao, HI 96768
Phone (808) 207-6563
30 Kupaoa St
Ste 208
Makawao, HI 96768
Phone (808) 207-6563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
30 Kupaoa St # A207
Makawao, HI 96768-6216
Mailing address
30 Kupaoa St # A207
Makawao, HI 96768-6216
Phone (808) 207-6563
Other providers in Makawao, HI
- Aloha Primary Care Physicians & Associates
- Kabba Anand
- Elizabeth D Anderson
- Michael Anderson
- Christina J Andersson-Reichert
- T Nalani Archibeque
- Autism Specialists of the Pacific
- Teri Aviles
- Laakeaokalani Awai
- Donna A Banal-Byrnes
All providers in Makawao, HI · Dermatology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.