Guam Seventh-day Adventist Clinic | |
388 Ypao Rd Tamuning GU 96913-3701 | |
(671) 646-8881 | |
(671) 646-1292 |
Full Name | Guam Seventh-day Adventist Clinic |
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Speciality | Clinic/Center |
Location | 388 Ypao Rd, Tamuning, Guam |
Authorized Official Name and Position | Victor Shepherd Pottinger (CEO) |
Authorized Official Contact | 6716468881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guam Seventh-day Adventist Clinic 388 Ypao Rd Tamuning GU 96913-3701 Ph: (671) 646-8881 | Guam Seventh-day Adventist Clinic 388 Ypao Rd Tamuning GU 96913-3701 Ph: (671) 646-8881 |
NPI Number | 1275586877 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 07/07/2022 |
Medicare PECOS PAC ID | 6608777628 |
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Medicare Enrollment ID | O20040114000187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275586877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | James K Nozaki |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437228541 PECOS PAC ID: 0345236196 Enrollment ID: I20040426000470 |
Provider Name | Jeannette Francina Storey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487711982 PECOS PAC ID: 6901887785 Enrollment ID: I20040527000310 |
Provider Name | Michael J Robinson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447329883 PECOS PAC ID: 2365425501 Enrollment ID: I20040614000297 |
Provider Name | Lisa D Flores |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124104195 PECOS PAC ID: 9931184181 Enrollment ID: I20040622000338 |
Provider Name | Hugo A Leon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114030095 PECOS PAC ID: 3779568944 Enrollment ID: I20040622000483 |
Provider Name | William L Gerling |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295734028 PECOS PAC ID: 8426067091 Enrollment ID: I20060410000171 |
Provider Name | Julie H Bryson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235173253 PECOS PAC ID: 2860463031 Enrollment ID: I20080117000301 |
Provider Name | Craig J Chaya |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275508160 PECOS PAC ID: 1951345529 Enrollment ID: I20101103000494 |
Provider Name | Faye Whiting Jensen |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497717912 PECOS PAC ID: 3476540550 Enrollment ID: I20110504000230 |
Provider Name | Loren S Seery |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407069123 PECOS PAC ID: 3476647306 Enrollment ID: I20110831000626 |
Provider Name | Kristina Woesner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871802579 PECOS PAC ID: 3779755814 Enrollment ID: I20111013000294 |
Provider Name | Janet Ae Nightingale |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1306915228 PECOS PAC ID: 1850559071 Enrollment ID: I20120220000631 |
Provider Name | Robert R Wresch |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1760555254 PECOS PAC ID: 7113185372 Enrollment ID: I20120220001125 |
Provider Name | Sunggeun S Im |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1770510901 PECOS PAC ID: 9830233220 Enrollment ID: I20120424000398 |
Provider Name | Isaias Claudio Coelho |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578583092 PECOS PAC ID: 2264436013 Enrollment ID: I20120611000330 |
Provider Name | Edna Ganacias-acuna |
---|---|
Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1487601183 PECOS PAC ID: 9032122858 Enrollment ID: I20130814001039 |
Provider Name | Robert A Gardner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194717801 PECOS PAC ID: 8527087428 Enrollment ID: I20130815000476 |
Provider Name | Leonard E Ranasinghe |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295813780 PECOS PAC ID: 6002918091 Enrollment ID: I20131209000815 |
Provider Name | Andrew C Kim |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1609978618 PECOS PAC ID: 3274604731 Enrollment ID: I20131217000278 |
Provider Name | Shishin Miyagi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912226713 PECOS PAC ID: 0042448623 Enrollment ID: I20140103000561 |
Provider Name | Vanessa Lynne Miller |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255351995 PECOS PAC ID: 7214099753 Enrollment ID: I20140117000738 |
Provider Name | Milton W Kim |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1871740787 PECOS PAC ID: 3072789213 Enrollment ID: I20140430000007 |
Provider Name | Lystra B Wilson Celestine |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1003034018 PECOS PAC ID: 3072696574 Enrollment ID: I20140915001612 |
Provider Name | Leon Moses Bathini |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538451588 PECOS PAC ID: 5597994756 Enrollment ID: I20141209001770 |
Provider Name | Michael Fenton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033183264 PECOS PAC ID: 2961640602 Enrollment ID: I20141212000276 |
Provider Name | Eric Walsh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588689715 PECOS PAC ID: 8921297417 Enrollment ID: I20150105001585 |
Provider Name | Anna Leigh Christine Ursales |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1710118906 PECOS PAC ID: 1557589728 Enrollment ID: I20150324001493 |
Provider Name | Gisella Sandy |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1659310860 PECOS PAC ID: 7113991407 Enrollment ID: I20150615000041 |
Provider Name | Albert Whiting |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730162140 PECOS PAC ID: 2860427705 Enrollment ID: I20151215000692 |
Provider Name | Chan S Hwang |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1861486367 PECOS PAC ID: 9830124270 Enrollment ID: I20160801001363 |
Provider Name | Esther M Park-hwang |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1184638439 PECOS PAC ID: 5698759488 Enrollment ID: I20160808000048 |
Provider Name | Brenda L Rea |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477844017 PECOS PAC ID: 4183925340 Enrollment ID: I20160825002455 |
Provider Name | Gabriel Jed David |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1659662542 PECOS PAC ID: 3173757952 Enrollment ID: I20160919000190 |
Provider Name | Umair Yousufi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1134357437 PECOS PAC ID: 4587979091 Enrollment ID: I20170330000695 |
Provider Name | Stephen P Roesler |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689626160 PECOS PAC ID: 1254343395 Enrollment ID: I20170524001437 |
Provider Name | Ubaldo J Salazar Alamillo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134223175 PECOS PAC ID: 5092816603 Enrollment ID: I20170901003105 |
Provider Name | Rose Elizabeth Todd |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1003259367 PECOS PAC ID: 8224330261 Enrollment ID: I20180103000584 |
Provider Name | Edward Prodanovic |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1306067640 PECOS PAC ID: 2668609777 Enrollment ID: I20180618000707 |
Provider Name | Candy Sim |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1265678783 PECOS PAC ID: 8224170956 Enrollment ID: I20181212001045 |
Provider Name | Isaias Lomiteng Santos |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720279268 PECOS PAC ID: 6507103629 Enrollment ID: I20190128003484 |
Provider Name | Rolan Segovia Golez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669744983 PECOS PAC ID: 2163760737 Enrollment ID: I20190207000192 |
Provider Name | Thora G Mark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336658889 PECOS PAC ID: 5698014348 Enrollment ID: I20190225002314 |
Provider Name | Stella K Ondieki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659810406 PECOS PAC ID: 5294005294 Enrollment ID: I20190226003132 |
Provider Name | Timothy J Arnott |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053362673 PECOS PAC ID: 2567474117 Enrollment ID: I20190529000517 |
Provider Name | Victoria Kamakea Ballares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245725167 PECOS PAC ID: 8123351152 Enrollment ID: I20190606001768 |
Provider Name | Jared W Santana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669604062 PECOS PAC ID: 3274679261 Enrollment ID: I20191007001010 |
Provider Name | Kenneth Murray Edstrom |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649373663 PECOS PAC ID: 4880580190 Enrollment ID: I20191022003553 |
Provider Name | Albert H. Im |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1801971577 PECOS PAC ID: 4880629153 Enrollment ID: I20191029001565 |
Provider Name | Jin B Jyung |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1780636852 PECOS PAC ID: 6608816202 Enrollment ID: I20191107000870 |
Provider Name | Norman David Emerson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306929427 PECOS PAC ID: 9032301494 Enrollment ID: I20191220000935 |
Provider Name | Deborah Swena |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861879405 PECOS PAC ID: 3678866241 Enrollment ID: I20200123002120 |
Provider Name | John J Kim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093702615 PECOS PAC ID: 3274851530 Enrollment ID: I20200316002590 |
Provider Name | Timothy Mark Riesenberger |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1689616302 PECOS PAC ID: 2062457047 Enrollment ID: I20200615002582 |
Provider Name | Peggy Suzanne Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629260112 PECOS PAC ID: 5597187195 Enrollment ID: I20200629001739 |
Provider Name | Gemma B. Sto Nino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992204580 PECOS PAC ID: 6608290010 Enrollment ID: I20200717002740 |
Provider Name | Daniel S Oh |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1891790614 PECOS PAC ID: 7719958107 Enrollment ID: I20200720002101 |
Provider Name | Jonathon Thorp |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720344732 PECOS PAC ID: 4981853736 Enrollment ID: I20200819002692 |
Provider Name | Dae-eil Chong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831474410 PECOS PAC ID: 9234425034 Enrollment ID: I20200904000374 |
Provider Name | Alison May-geslani Chong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073111712 PECOS PAC ID: 6507276664 Enrollment ID: I20201102001388 |
Provider Name | Michael G Cheek |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1629144290 PECOS PAC ID: 2264561109 Enrollment ID: I20201221000684 |
Provider Name | Linda Kay Carney |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356317929 PECOS PAC ID: 6800848565 Enrollment ID: I20201222002531 |
Provider Name | Sadia Kalsoom |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679027742 PECOS PAC ID: 7012322050 Enrollment ID: I20210224001930 |
Provider Name | Allison Nichole Thorp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093304941 PECOS PAC ID: 6204242688 Enrollment ID: I20210309003116 |
Provider Name | Koji Iizuka |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811213523 PECOS PAC ID: 6103242706 Enrollment ID: I20210604002662 |
Provider Name | Laverda Richards |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497959456 PECOS PAC ID: 6800969288 Enrollment ID: I20210720002658 |
Provider Name | Bevan A Geslani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992741862 PECOS PAC ID: 8527055276 Enrollment ID: I20211012001465 |
Provider Name | Ashley Nelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154938736 PECOS PAC ID: 5496174641 Enrollment ID: I20220112001300 |
Provider Name | Julie S Namm |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740515030 PECOS PAC ID: 2163617283 Enrollment ID: I20220208002766 |
Provider Name | Daniel Edward Debardeleben |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598253379 PECOS PAC ID: 7517351075 Enrollment ID: I20220225001189 |
Provider Name | Elena Kirilova Taneva-cholakova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417628306 PECOS PAC ID: 9335534734 Enrollment ID: I20220322002064 |
Provider Name | Samantha Shapiro |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518200930 PECOS PAC ID: 4981832540 Enrollment ID: I20220427002991 |
Provider Name | Jeffrey J Ing |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871600114 PECOS PAC ID: 8426129370 Enrollment ID: I20220510002357 |
Provider Name | Janie Yoo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932393170 PECOS PAC ID: 0749314078 Enrollment ID: I20220727003607 |
Provider Name | Tearsa Debardeleben |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1184363954 PECOS PAC ID: 6305228875 Enrollment ID: I20220729002625 |
Provider Name | Donn Latour |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1427139674 PECOS PAC ID: 6305757253 Enrollment ID: I20221006000516 |
Provider Name | Esther Meekyung Latour |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538243928 PECOS PAC ID: 5799770970 Enrollment ID: I20221019001260 |
Provider Name | Keith L. Wilkens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164595807 PECOS PAC ID: 7618968330 Enrollment ID: I20230113002001 |
Provider Name | Shion Shironishi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417673393 PECOS PAC ID: 7012389356 Enrollment ID: I20230214001656 |
Provider Name | Astrid R Von Walter |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194977470 PECOS PAC ID: 5991950214 Enrollment ID: I20230220000951 |
Provider Name | William Y Oh |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1770586117 PECOS PAC ID: 4082791694 Enrollment ID: I20230308001626 |
Provider Name | Gerald Cox |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477041333 PECOS PAC ID: 1254790348 Enrollment ID: I20230707001579 |
Provider Name | Dannette Aguirre Saguan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790923290 PECOS PAC ID: 6204011703 Enrollment ID: I20230720002732 |
Provider Name | Matthew M Boles |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730573056 PECOS PAC ID: 8224401997 Enrollment ID: I20230907003822 |
Provider Name | Ngozi Ezinwa |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1336467380 PECOS PAC ID: 2365674702 Enrollment ID: I20230911003847 |
Provider Name | Rebekah Cote |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487603742 PECOS PAC ID: 2365409075 Enrollment ID: I20240105000706 |
Provider Name | Harold Bailey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184797821 PECOS PAC ID: 0840281515 Enrollment ID: I20240209001573 |
Pacific Cardiology Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Gov Carlos G Camacho Rd, Suite 210, Guam Medical Plaza, Tamuning, GU 96913 Phone: 671-649-1001 Fax: 671-649-1002 | |
Todu Guam Foundation Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Tun Jesus Crisostomo St Ste 104, Tamuning, GU 96913 Phone: 671-649-8638 Fax: 671-648-5463 | |
Primary Multispecialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 177 Chalan Pasaheru Ste C, Tamuning, GU 96913 Phone: 671-647-6201 Fax: 671-647-0045 | |
Hepzibah Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 543 Guma Yuos Ln, Tamuning, GU 96913 Phone: 671-588-2873 Fax: 855-540-2437 | |
Pmc Isla Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 177c Chalan Pasaheru, Tamuning, GU 96913 Phone: 671-647-6201 Fax: 671-647-0045 | |
Itc Pharmacy Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Chalan San Antonio, Tamuning, GU 96913 Phone: 671-649-1977 Fax: 671-646-5338 |