Grmc Specialty Care Center - Medicare Primary Care in Dededo, GU

Grmc Specialty Care Center is a medicare enrolled primary clinic (Clinic/center) in Dededo, Guam. The current practice location for Grmc Specialty Care Center is 133 Route 3, Dededo, Guam. For appointments, you can reach them via phone at (671) 645-5500. The mailing address for Grmc Specialty Care Center is 133 Route 3, Dededo, Guam and phone number is (671) 645-5500.

Grmc Specialty Care Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326447939. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (671) 645-5500.

Contact Information

Grmc Specialty Care Center
133 Route 3
Dededo
GU 96929-6911
(671) 645-5500
(671) 645-5549

Map and Direction


Primary Care Clinic Profile

Full NameGrmc Specialty Care Center
SpecialityClinic/Center
Location133 Route 3, Dededo, Guam
Authorized Official Name and PositionAlan Funtanilla (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact6716455500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grmc Specialty Care Center
133 Route 3
Dededo
GU 96929-6911

Ph: (671) 645-5500
Grmc Specialty Care Center
133 Route 3
Dededo
GU 96929-6911

Ph: (671) 645-5500

NPI Details:

NPI Number1326447939
Provider Enumeration Date08/19/2014
Last Update Date01/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9234351776
Medicare Enrollment IDO20150326000266

Medical Identifiers

Medical identifiers for Grmc Specialty Care Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326447939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grmc Specialty Care Center acts as a billing entity for following providers:
Provider NameRonald T Kobayashi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104975689
PECOS PAC ID: 7911896618
Enrollment ID: I20040622000123
Provider NameTeresa D Borja
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1558338509
PECOS PAC ID: 2466437629
Enrollment ID: I20040622000368
Provider NameMichael W Cruz
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164552022
PECOS PAC ID: 8921083197
Enrollment ID: I20040622000441
Provider NameRicardo B Eusebio
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679795603
PECOS PAC ID: 7911896774
Enrollment ID: I20040622000639
Provider NameMichelle Labrunda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902081318
PECOS PAC ID: 3072695741
Enrollment ID: I20080204000180
Provider NameJerry R Castro
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1326231655
PECOS PAC ID: 5496902769
Enrollment ID: I20120822000405
Provider NameAshish Khandelwal
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801055223
PECOS PAC ID: 8729230396
Enrollment ID: I20121205000131
Provider NameAlexander G Yap
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1346254463
PECOS PAC ID: 8820151970
Enrollment ID: I20121221000337
Provider NameRussel J Aubin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1255690517
PECOS PAC ID: 7810918778
Enrollment ID: I20130325000114
Provider NameMohamad H Alsabban
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1942226790
PECOS PAC ID: 0547255960
Enrollment ID: I20130411000525
Provider NamePichet Iampornpipopchai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679738330
PECOS PAC ID: 8123267556
Enrollment ID: I20130617000042
Provider NameFelix T Cabrera
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164697546
PECOS PAC ID: 7810167673
Enrollment ID: I20130802000121
Provider NameVirgilio I Lopez
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1255438347
PECOS PAC ID: 9931362456
Enrollment ID: I20130805000448
Provider NameEdna Ganacias-acuna
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1487601183
PECOS PAC ID: 9032122858
Enrollment ID: I20130814001039
Provider NameVincent S Duenas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134430192
PECOS PAC ID: 6901032861
Enrollment ID: I20131122001878
Provider NameAndrew C Kim
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1609978618
PECOS PAC ID: 3274604731
Enrollment ID: I20131217000278
Provider NameLara A Rhodes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689623399
PECOS PAC ID: 0547266587
Enrollment ID: I20140320000557
Provider NameRuben P Arafiles
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1659467504
PECOS PAC ID: 0345338828
Enrollment ID: I20140326000072
Provider NameSibyl Dgg Crisostomo
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1447588116
PECOS PAC ID: 5193957140
Enrollment ID: I20140407001067
Provider NameJohnny J Kim
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023097375
PECOS PAC ID: 0143396978
Enrollment ID: I20140505001822
Provider NameInsaf Ally
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750635801
PECOS PAC ID: 2769612738
Enrollment ID: I20140730000548
Provider NameUnknown Mallikarjunappa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093996233
PECOS PAC ID: 9436376571
Enrollment ID: I20140813000669
Provider NameMeagan J Bamba-ada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568874345
PECOS PAC ID: 3072835552
Enrollment ID: I20141212000269
Provider NameJeffery D Shay
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1568462513
PECOS PAC ID: 4183674641
Enrollment ID: I20150120002556
Provider NamePeter Lombard
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1336117217
PECOS PAC ID: 7315998556
Enrollment ID: I20150331002896
Provider NameJustin S Hale
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1629211891
PECOS PAC ID: 1557504073
Enrollment ID: I20150402001229
Provider NameRussell C Gilbert
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1417918798
PECOS PAC ID: 8022025758
Enrollment ID: I20150410002133
Provider NameMarian C Holland
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700084464
PECOS PAC ID: 9931295631
Enrollment ID: I20150604002107
Provider NameJason S Hahn
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1831128149
PECOS PAC ID: 4880653948
Enrollment ID: I20150605000043
Provider NamePaul C Coty
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1386738862
PECOS PAC ID: 0941494181
Enrollment ID: I20150608003129
Provider NameWilliam P Vercio
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1962658922
PECOS PAC ID: 2769542893
Enrollment ID: I20150810000135
Provider NamePeter Kh Lim Go
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1932202298
PECOS PAC ID: 7517935448
Enrollment ID: I20150818005524
Provider NameAnn S Fenton
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1144208851
PECOS PAC ID: 9739328451
Enrollment ID: I20151015001000
Provider NameIsabel C Hill
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1336304468
PECOS PAC ID: 9133438062
Enrollment ID: I20151015002114
Provider NamePei-chang Liu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881929156
PECOS PAC ID: 6507030624
Enrollment ID: I20151021001513
Provider NameJames W Murphy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013074244
PECOS PAC ID: 8123287646
Enrollment ID: I20151030000070
Provider NameRonald Innerfield
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1063457950
PECOS PAC ID: 0446222772
Enrollment ID: I20151109000852
Provider NameSong Chu Ko
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1740205921
PECOS PAC ID: 1557368842
Enrollment ID: I20151109001577
Provider NameDavid M Weingarten
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1639336472
PECOS PAC ID: 2365752912
Enrollment ID: I20151110002591
Provider NameTyler M Arkless
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235347154
PECOS PAC ID: 9537241245
Enrollment ID: I20151112001402
Provider NameSow Alfred Kobayashi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205194578
PECOS PAC ID: 9335459817
Enrollment ID: I20151112002864
Provider NameJose Jersey Gonzalez Huertas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063654309
PECOS PAC ID: 0941510325
Enrollment ID: I20151116000808
Provider NameNoel Leonardo Concepcion
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1942243308
PECOS PAC ID: 3577586346
Enrollment ID: I20151120002665
Provider NameSheri L Tackett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477855468
PECOS PAC ID: 9537333679
Enrollment ID: I20151130001963
Provider NameKevin John Sullivan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245538669
PECOS PAC ID: 6002091493
Enrollment ID: I20151204000780
Provider NameGregory K Woodard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649563651
PECOS PAC ID: 1557531936
Enrollment ID: I20151204002024
Provider NameCarl Von Trampe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497953244
PECOS PAC ID: 3274432695
Enrollment ID: I20151208003055
Provider NameReynald T Lim
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1679549869
PECOS PAC ID: 1153212857
Enrollment ID: I20151214002315
Provider NameAlessandro A Giambartolomei
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730175241
PECOS PAC ID: 0840185229
Enrollment ID: I20151217002246
Provider NameMartin A Arrisueno
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427124114
PECOS PAC ID: 0749426310
Enrollment ID: I20151228001789
Provider NameWendy S Maclean
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801023155
PECOS PAC ID: 1557536687
Enrollment ID: I20151230000585
Provider NameRichard S Young
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528058161
PECOS PAC ID: 0244255891
Enrollment ID: I20160118000908
Provider NameXavier R Packianathan
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1669692059
PECOS PAC ID: 0345327623
Enrollment ID: I20160211002843
Provider NameDaniel G Hafner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306817366
PECOS PAC ID: 5698728244
Enrollment ID: I20160212002502
Provider NameCarmelino L Galang
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326070046
PECOS PAC ID: 1254369341
Enrollment ID: I20160218001803
Provider NameAnthony G Bekkerman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164522819
PECOS PAC ID: 4385643170
Enrollment ID: I20160223002090
Provider NameScott R Shay
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1720175847
PECOS PAC ID: 8426008988
Enrollment ID: I20160229001163
Provider NameKatherine E Kruger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912246174
PECOS PAC ID: 0244457240
Enrollment ID: I20160331001379
Provider NameTeofila Maria P Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548500291
PECOS PAC ID: 1355648379
Enrollment ID: I20160401001958
Provider NameNancy A Lentz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548559149
PECOS PAC ID: 8325360787
Enrollment ID: I20160404001474
Provider NameEric M Greenfield
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457558025
PECOS PAC ID: 1355492943
Enrollment ID: I20160502000415
Provider NameAmber J Vogt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548400682
PECOS PAC ID: 4183750979
Enrollment ID: I20160506000249
Provider NameAkua Agyeman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831377688
PECOS PAC ID: 0749173474
Enrollment ID: I20160513001962
Provider NameDaniel Crosby
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851360531
PECOS PAC ID: 0345268884
Enrollment ID: I20160608000803
Provider NameIbrahim Khalil Aburiziq
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1134359771
PECOS PAC ID: 3476844234
Enrollment ID: I20160624001857
Provider NameNajmeh Akhavan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386805356
PECOS PAC ID: 3870761158
Enrollment ID: I20160712000593
Provider NameAnnie U Bordallo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1518182187
PECOS PAC ID: 2961499553
Enrollment ID: I20160729000846
Provider NameHugo E Koo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1588617880
PECOS PAC ID: 0941352249
Enrollment ID: I20160819001645
Provider NameKamala Thanapandian
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1396984845
PECOS PAC ID: 8022303551
Enrollment ID: I20160823002820
Provider NameSamir S Ambrale
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1780990382
PECOS PAC ID: 3072815919
Enrollment ID: I20160902001992
Provider NameSarah E Baddorf
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588981161
PECOS PAC ID: 5597908970
Enrollment ID: I20160906000743
Provider NameGabriel Jed David
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659662542
PECOS PAC ID: 3173757952
Enrollment ID: I20160919000190
Provider NameCameron Newell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811252869
PECOS PAC ID: 5698793131
Enrollment ID: I20160921002510
Provider NameMariana Lg Cook-huynh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821356247
PECOS PAC ID: 2961720065
Enrollment ID: I20160921002633
Provider NameAnna B Shapiro
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1497044739
PECOS PAC ID: 0345537171
Enrollment ID: I20160922001313
Provider NameSteven F Hayashida
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1144361239
PECOS PAC ID: 3476575598
Enrollment ID: I20160927000563
Provider NamePang Cheng
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346567476
PECOS PAC ID: 2466687249
Enrollment ID: I20160928001200
Provider NameShannon Marie Mccrory
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699179531
PECOS PAC ID: 0143546911
Enrollment ID: I20161025002829
Provider NameEric G Leveen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1487619490
PECOS PAC ID: 5597724708
Enrollment ID: I20161027001514
Provider NameBradley J Williams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366753360
PECOS PAC ID: 1153609920
Enrollment ID: I20161028001662
Provider NameMichael C Agustin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215248356
PECOS PAC ID: 2163700881
Enrollment ID: I20161101001526
Provider NameMichele Therese L Yamamoto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083902464
PECOS PAC ID: 3577791565
Enrollment ID: I20161101002413
Provider NameNicholas R Villalon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942525332
PECOS PAC ID: 6204063662
Enrollment ID: I20161121001662
Provider NameDaniel Case
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720124001
PECOS PAC ID: 3870585763
Enrollment ID: I20161201001093
Provider NameKathryn M Guffrey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144512252
PECOS PAC ID: 5799906780
Enrollment ID: I20161208002050
Provider NameAlexander Duncan Wielaard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144438995
PECOS PAC ID: 8325237662
Enrollment ID: I20161213001366
Provider NameJohn Y Young
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629120381
PECOS PAC ID: 9133184807
Enrollment ID: I20161213002826
Provider NameTiffany Ann Scott
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760613335
PECOS PAC ID: 5991990327
Enrollment ID: I20161215001126
Provider NameSangwook Kang
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336537109
PECOS PAC ID: 3779807383
Enrollment ID: I20161228001121
Provider NameArturo Talon Santos
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1205839859
PECOS PAC ID: 0345211660
Enrollment ID: I20161229000658
Provider NameGabriel Wardi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720346083
PECOS PAC ID: 7214249754
Enrollment ID: I20161230000546
Provider NameGeorge G Bocobo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760428221
PECOS PAC ID: 4183653850
Enrollment ID: I20161230000892
Provider NameStephen Jory Pomeranz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1285639690
PECOS PAC ID: 7618880824
Enrollment ID: I20170113002325
Provider NameFrankie T Mendiola
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366784647
PECOS PAC ID: 4486871506
Enrollment ID: I20170119001548
Provider NameCynthia Evans
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598104564
PECOS PAC ID: 3779887682
Enrollment ID: I20170119001726
Provider NameWoonjeong K Banks
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396996393
PECOS PAC ID: 9638230923
Enrollment ID: I20170120000432
Provider NameSarah Haley-wien
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538242292
PECOS PAC ID: 8325144892
Enrollment ID: I20170123002358
Provider NameChawat Tongma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780970467
PECOS PAC ID: 2567744725
Enrollment ID: I20170123002929
Provider NameBrian N Harris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982611950
PECOS PAC ID: 0648252940
Enrollment ID: I20170131001860
Provider NameAlbert P Pesigan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1982064721
PECOS PAC ID: 3274815030
Enrollment ID: I20170202000616
Provider NameSheri Foote
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1528140621
PECOS PAC ID: 1658371786
Enrollment ID: I20170215001397
Provider NameKenneth Tan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306008834
PECOS PAC ID: 1153485438
Enrollment ID: I20170308002673
Provider NameJazmin B Refuerzo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114467263
PECOS PAC ID: 5294010674
Enrollment ID: I20170327002212
Provider NameSteven A Whelpley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104111780
PECOS PAC ID: 0749426328
Enrollment ID: I20170420001573
Provider NameJeffrey H Mcdonald
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447298716
PECOS PAC ID: 2961435482
Enrollment ID: I20170425000046
Provider NameGregory P Burton
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003884297
PECOS PAC ID: 4981591112
Enrollment ID: I20170505000001
Provider NameMichael J Torres
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336544006
PECOS PAC ID: 3072820430
Enrollment ID: I20170505000047
Provider NameNeil G Powell
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1114977477
PECOS PAC ID: 9537244884
Enrollment ID: I20170505001565
Provider NameRobert C Montana
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649290370
PECOS PAC ID: 1850397282
Enrollment ID: I20170508001185
Provider NameMartin Fb Springer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447409214
PECOS PAC ID: 5092970442
Enrollment ID: I20170517001930
Provider NameRobert J Orgill
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396017927
PECOS PAC ID: 6002183258
Enrollment ID: I20170522000424
Provider NameNoel D Silan
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1194860676
PECOS PAC ID: 1951398015
Enrollment ID: I20170526000990
Provider NameWilliam Graf
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568433209
PECOS PAC ID: 6507133303
Enrollment ID: I20170526002045
Provider NameAmanda River
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538422431
PECOS PAC ID: 2567778186
Enrollment ID: I20170601002620
Provider NameLangan Robbins
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336373307
PECOS PAC ID: 9436397858
Enrollment ID: I20170601002762
Provider NameLena M Leishman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487195053
PECOS PAC ID: 2769759125
Enrollment ID: I20170606002594
Provider NameDaniel A Popa
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114276706
PECOS PAC ID: 3577856061
Enrollment ID: I20170609000834
Provider NameJi Yeong Kang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790903805
PECOS PAC ID: 6103142781
Enrollment ID: I20170614000925
Provider NameNathaniel B Berg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265646806
PECOS PAC ID: 0244129922
Enrollment ID: I20170703001328
Provider NameEmiliza Cornejo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306387691
PECOS PAC ID: 5193095420
Enrollment ID: I20170719003519
Provider NameWeerawat Tananusont
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720226202
PECOS PAC ID: 6800065319
Enrollment ID: I20170802002541
Provider NameLeslie Anne K Chua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063640829
PECOS PAC ID: 2163674896
Enrollment ID: I20170803002426
Provider NameSayuri Cheruvu
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1134357213
PECOS PAC ID: 9032356506
Enrollment ID: I20170804002795
Provider NameYoshito Okumura
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467740191
PECOS PAC ID: 2062717697
Enrollment ID: I20170807003374
Provider NameMaria Melinda B Sangalang
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1760497309
PECOS PAC ID: 1850396318
Enrollment ID: I20170808001351
Provider NameReza Shams Pirzadeh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831419779
PECOS PAC ID: 9032419585
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Provider IdentifiersNPI Number: 1063410868
PECOS PAC ID: 1254335441
Enrollment ID: I20210305000654
Provider NameGale Sisney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659330124
PECOS PAC ID: 9931173853
Enrollment ID: I20210308002076
Provider NameEric W Spak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053525170
PECOS PAC ID: 8628084027
Enrollment ID: I20210325002790
Provider NameSusan Gale Dobbs
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1467567768
PECOS PAC ID: 2365414802
Enrollment ID: I20210331001096
Provider NamePatrick Moon
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1790198679
PECOS PAC ID: 7315355302
Enrollment ID: I20210412001205
Provider NameJon A Buras
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699723957
PECOS PAC ID: 6608854534
Enrollment ID: I20210427002294
Provider NameBryan Christopher Bansil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386220531
PECOS PAC ID: 3678982675
Enrollment ID: I20210504000581
Provider NameSophana Karnchanasorn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710165303
PECOS PAC ID: 6800933276
Enrollment ID: I20210514002091
Provider NameEmily Raetz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740630482
PECOS PAC ID: 3779994801
Enrollment ID: I20210526001701
Provider NameJohn Stewart Hunt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487004099
PECOS PAC ID: 8022417591
Enrollment ID: I20210603001409
Provider NameGary Roark
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1922083450
PECOS PAC ID: 5496761884
Enrollment ID: I20210603001936
Provider NameTaylor M Miles
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043665987
PECOS PAC ID: 5890032353
Enrollment ID: I20210615002076
Provider NameMariana Vigiola Cruz
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104184944
PECOS PAC ID: 4183953672
Enrollment ID: I20210622001147
Provider NameJohn Yolwa Walsh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659909422
PECOS PAC ID: 8325463268
Enrollment ID: I20210922003681
Provider NameByeori Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659867406
PECOS PAC ID: 5698172823
Enrollment ID: I20210930000950
Provider NameMatthew Bauer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043730542
PECOS PAC ID: 8921350778
Enrollment ID: I20211001001136
Provider NameAdele Tse
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740517499
PECOS PAC ID: 3779749692
Enrollment ID: I20211005000370
Provider NameDuncan Thomas
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568948610
PECOS PAC ID: 4486989589
Enrollment ID: I20211007002866
Provider NameFelipe Grimaldo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609167139
PECOS PAC ID: 8820393341
Enrollment ID: I20211027002739
Provider NameCarl Tahn
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1508961319
PECOS PAC ID: 0547158941
Enrollment ID: I20211220002563
Provider NameGilda Gomez
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1235321753
PECOS PAC ID: 0446337752
Enrollment ID: I20211221000523
Provider NameTodd Zisholtz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386675809
PECOS PAC ID: 1850391475
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Provider NameMegan Halliday
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801327440
PECOS PAC ID: 5496156200
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Provider NameJon Kerr
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609036094
PECOS PAC ID: 8325219462
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Provider NameMatthew Dybas
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326579319
PECOS PAC ID: 5294156352
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Provider NameAllyson Jarvis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891115408
PECOS PAC ID: 1951684505
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Provider NameDare Adewumi
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1265605091
PECOS PAC ID: 9133347446
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Provider NameAziz Edward Sabeti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285366013
PECOS PAC ID: 8527441088
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Provider NameCharles P Pluto
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619173721
PECOS PAC ID: 5395969315
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Provider NameAmy Strowbridge
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1366534653
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Provider NameCorey Amman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336374529
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Provider TypePractitioner - Emergency Medicine
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Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255714820
PECOS PAC ID: 6406107705
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Provider NameKatherine Marie Kelley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770926131
PECOS PAC ID: 8921308990
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Provider NameLouise Gutierrez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1346446275
PECOS PAC ID: 6103011135
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Provider NameUmair Saleem
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548528029
PECOS PAC ID: 3072896018
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Provider NameStanley Ilchul Kim
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1306940705
PECOS PAC ID: 2163566175
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Provider NameJames H Williams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518491307
PECOS PAC ID: 9638597131
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Provider NameSamer Shuaib
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1720294440
PECOS PAC ID: 3971785965
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Provider NameJeffrey Biberston
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1790109866
PECOS PAC ID: 3173824562
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Provider NameRada Ivanov
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1790782613
PECOS PAC ID: 6709911480
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Provider NameRachel Libby
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487018461
PECOS PAC ID: 8325376759
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Provider NameAllan Xu Zhang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811301021
PECOS PAC ID: 7214350305
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Provider NameMichael J Golden
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952527012
PECOS PAC ID: 9032353313
Enrollment ID: I20230117000664
Provider NameSantosh N Shah
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841440021
PECOS PAC ID: 2668612342
Enrollment ID: I20230118002432
Provider NameAndrew D Healey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194141689
PECOS PAC ID: 8123325180
Enrollment ID: I20230125002345
Provider NameGeneva Lyn Lei
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013628197
PECOS PAC ID: 9234500281
Enrollment ID: I20230130001991
Provider NameAri Katerelos
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1861607418
PECOS PAC ID: 2365636099
Enrollment ID: I20230201002560
Provider NameMoneeb Ehtesham
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1346413929
PECOS PAC ID: 8820302672
Enrollment ID: I20230202000685
Provider NameJohnathan Hays
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366654162
PECOS PAC ID: 5698825867
Enrollment ID: I20230220001372
Provider NameGamaliel Jesse Ferrer
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1912460734
PECOS PAC ID: 1759616865
Enrollment ID: I20230306000502
Provider NameKeitaroh Takeda
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184076135
PECOS PAC ID: 1951774322
Enrollment ID: I20230306001591
Provider NameKatharine Liu
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073264495
PECOS PAC ID: 9830582220
Enrollment ID: I20230314002291
Provider NameRaymond Long
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1396055299
PECOS PAC ID: 5193983138
Enrollment ID: I20230315002921
Provider NameWei-hsien Hou
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1184986879
PECOS PAC ID: 1850684010
Enrollment ID: I20230321001163
Provider NameScott Carmody Dulebohn
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1528009198
PECOS PAC ID: 2668480658
Enrollment ID: I20230406002298
Provider NameJirapat Teerakanok
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1174906002
PECOS PAC ID: 5890084420
Enrollment ID: I20230410000852
Provider NameXue Ming
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346314507
PECOS PAC ID: 2062600992
Enrollment ID: I20230411001909
Provider NameShiela Kaye Crisostomo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710587712
PECOS PAC ID: 2466861760
Enrollment ID: I20230419001929
Provider NameHonorio Valdes Murua
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1558306928
PECOS PAC ID: 7719978741
Enrollment ID: I20230426002621
Provider NameNathaniel Loo
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1861791329
PECOS PAC ID: 3173815651
Enrollment ID: I20230619001670
Provider NameGerald K Lee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013928225
PECOS PAC ID: 6204818271
Enrollment ID: I20230621001661
Provider NameNaho Hattori
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407380603
PECOS PAC ID: 2567739980
Enrollment ID: I20230622001780
Provider NameJose J Fernandez
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003894726
PECOS PAC ID: 6800895483
Enrollment ID: I20230705003497
Provider NameJohn Reinier Favor Narvaez
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396131850
PECOS PAC ID: 7012377658
Enrollment ID: I20230714001291
Provider NameMichelle Song Healey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215347828
PECOS PAC ID: 0143559559
Enrollment ID: I20230718000521
Provider NameBishoy Elbebawy
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1093176901
PECOS PAC ID: 9931494051
Enrollment ID: I20230731000769
Provider NameLuc Dupont Jasmin
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1083623193
PECOS PAC ID: 1355360256
Enrollment ID: I20230731000772
Provider NameChristopher R Tainter
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1962660803
PECOS PAC ID: 3375716731
Enrollment ID: I20230905001357
Provider NameJonathan Jaksha
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871555649
PECOS PAC ID: 3274632054
Enrollment ID: I20230906002811
Provider NameKyle Hirschman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801175401
PECOS PAC ID: 2466686126
Enrollment ID: I20230908001931
Provider NameWilliam F Ryan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1497715189
PECOS PAC ID: 1951585207
Enrollment ID: I20230921002126
Provider NameKathryn Cambron
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396749867
PECOS PAC ID: 8224016530
Enrollment ID: I20230922003261
Provider NameTimothy Conner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750385357
PECOS PAC ID: 6709784119
Enrollment ID: I20230927003762
Provider NameMohammed Quraishi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871545269
PECOS PAC ID: 8123030814
Enrollment ID: I20230927003823
Provider NameKaren G Phillips
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801992813
PECOS PAC ID: 8729024161
Enrollment ID: I20230928002558
Provider NameSurendra Pawar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427098797
PECOS PAC ID: 8325011018
Enrollment ID: I20230928002989
Provider NameKevin W Marcum
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619166675
PECOS PAC ID: 0042480303
Enrollment ID: I20230928003441
Provider NameJason E Rogers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366885840
PECOS PAC ID: 4789927260
Enrollment ID: I20230929000797
Provider NameColin Thompson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467615252
PECOS PAC ID: 5597982694
Enrollment ID: I20230929002765
Provider NameNorman M Jacobs
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407856214
PECOS PAC ID: 8022917517
Enrollment ID: I20231001000012
Provider NameSteven Todd Mccormack
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023000338
PECOS PAC ID: 4183651987
Enrollment ID: I20231001000040
Provider NameStanley R Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003802968
PECOS PAC ID: 4082527205
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Provider NameShannon L St. Clair
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881030997
PECOS PAC ID: 3678714268
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Provider NameJames Day
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558892059
PECOS PAC ID: 5193133155
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Provider NameJarret Kuo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720228778
PECOS PAC ID: 0446495626
Enrollment ID: I20231002002894
Provider NameMaheswara Satya Golla
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1154761716
PECOS PAC ID: 9739519455
Enrollment ID: I20231004001470
Provider NameAaron Thomas Ranck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972256295
PECOS PAC ID: 0042665473
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Provider NameSean Feinberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104273549
PECOS PAC ID: 3476952557
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Provider NameAndrew Ciccarelli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407893738
PECOS PAC ID: 9436162302
Enrollment ID: I20231008000188
Provider NameJennifer Huckabee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689017345
PECOS PAC ID: 3375885551
Enrollment ID: I20231010002476
Provider NameArjun Balakumar
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619504115
PECOS PAC ID: 5294180105
Enrollment ID: I20231012003226
Provider NameMatthew Middendorf
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1629305784
PECOS PAC ID: 5698024750
Enrollment ID: I20231020000660
Provider NameLeslie Rea Kallevang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699238550
PECOS PAC ID: 0345575429
Enrollment ID: I20231023003592
Provider NameLoretta Settonni
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023011137
PECOS PAC ID: 7214824762
Enrollment ID: I20231024000480
Provider NameShawn T Stone
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891040689
PECOS PAC ID: 6103103569
Enrollment ID: I20231025002003
Provider NameMohsin Iqbal Pasha
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1316479926
PECOS PAC ID: 6305247677
Enrollment ID: I20231108002215
Provider NameGhassan Samaha
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1083063531
PECOS PAC ID: 9830434372
Enrollment ID: I20231113003415
Provider NameScott Logan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1154321867
PECOS PAC ID: 1355249319
Enrollment ID: I20231120003562
Provider NameDaniel Douzjian
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1669834602
PECOS PAC ID: 5294152427
Enrollment ID: I20231129001745
Provider NameYuyang Zhang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538304035
PECOS PAC ID: 4880833615
Enrollment ID: I20231212002797
Provider NameNeil Partain
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1053360057
PECOS PAC ID: 2264670215
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Provider NameMarie Lourdes Ynson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881915239
PECOS PAC ID: 1153564075
Enrollment ID: I20231218001316
Provider NamePraveena Madapathi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205462330
PECOS PAC ID: 2567812365
Enrollment ID: I20231220000310
Provider NameTheresa Gille
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1063474336
PECOS PAC ID: 7911144019
Enrollment ID: I20231222002594
Provider NameLinfei Yu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770236093
PECOS PAC ID: 9638529175
Enrollment ID: I20231227000550
Provider NameJohn T Haggerty
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427395326
PECOS PAC ID: 7214301613
Enrollment ID: I20240104001957
Provider NameDorry Lynn Gascon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831167170
PECOS PAC ID: 9133108178
Enrollment ID: I20240209001262
Provider NameRobert Koch
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1972598597
PECOS PAC ID: 4789640475
Enrollment ID: I20240210000744
Provider NameAdam D Evans
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053748822
PECOS PAC ID: 0446573943
Enrollment ID: I20240319000113
Provider NameMichael Wilson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568652147
PECOS PAC ID: 3577638204
Enrollment ID: I20240319003399
Provider NameDavid Bodne
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316944697
PECOS PAC ID: 6204936206
Enrollment ID: I20240321000824
Provider NameAnthony Rowe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518120575
PECOS PAC ID: 8921246273
Enrollment ID: I20240327000637
Provider NameMuneer Janak Desai
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1376516021
PECOS PAC ID: 4688645591
Enrollment ID: I20240327002287
Provider NamePeter Britt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023012010
PECOS PAC ID: 1850376096
Enrollment ID: I20240409002622
Provider NameSteven L Woolley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831189935
PECOS PAC ID: 4082895321
Enrollment ID: I20240409003257
Provider NameChristopher Martin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1891787339
PECOS PAC ID: 0446274161
Enrollment ID: I20240412002020
Provider NameZhengran Jiang
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1790281178
PECOS PAC ID: 4587026505
Enrollment ID: I20240418001742
Provider NameDustin L Johnson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033439492
PECOS PAC ID: 7012104763
Enrollment ID: I20240419003545
Provider NameNathan D Bennington
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972777589
PECOS PAC ID: 2668641820
Enrollment ID: I20240423000796
Provider NameRobert B Roach
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295725398
PECOS PAC ID: 7416140082
Enrollment ID: I20240423001231
Provider NameAndrew James Medenbach
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033560354
PECOS PAC ID: 8426499492
Enrollment ID: I20240508004084
Provider NameAxel Rosengart
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1629129606
PECOS PAC ID: 2567477359
Enrollment ID: I20240516002202
Provider NameMohamad Ghraowi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1942201439
PECOS PAC ID: 1456255751
Enrollment ID: I20240520000157
Provider NameMichael James Ellett Monson
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1275852584
PECOS PAC ID: 3870720535
Enrollment ID: I20240520003015
Provider NameKitty Victoria
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1871917633
PECOS PAC ID: 1052682069
Enrollment ID: I20240530004285
Provider NameSamantha Rachel Scardilli
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1770164857
PECOS PAC ID: 8820439128
Enrollment ID: I20240605002734
Provider NameCamille Gonzales
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1568216752
PECOS PAC ID: 5799227229
Enrollment ID: I20240611004322
Provider NameEric Victor Knight
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1932662574
PECOS PAC ID: 4082156526
Enrollment ID: I20240611004799

Reviews and Comments


Clinic/Center in Dededo, GU

Harmon Doctors Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2214 Army Drive, Harmon, Dededo, GU 96929
Phone: 671-637-1777    Fax: 671-637-4385
Blue Ocean Medical Group Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 655 Harmon Loop Rd Ste 108, Dededo, GU 96929
Phone: 671-633-4447    
Blue Continent Healthcare Guam Medical City Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 133 Route 3, Dededo, GU 96929
Phone: 671-645-5500    
International Health Providers, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 655 Harmon Loop Rd, Suite 108, Dededo, GU 96929
Phone: 671-929-6214    
Northern Region Comm. Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 520 W Santa Monica Ave, Dededo, GU 96929
Phone: 671-635-7492    Fax: 671-635-7493
Central Medical Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 330 W Marine Corps Dr, Dededo, GU 96929
Phone: 671-637-8112    Fax: 671-637-8113

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.