| Dr Tedd D Groshong, DO | |
|
850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | |
| (671) 647-2418 | |
| (671) 649-5508 |
| Full Name | Dr Tedd D Groshong |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 850 Governor Carlos Camacho Road, Oka Tamuning, Guam |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831246065 | NPI | - | NPPES |
| 0000LCBST | Other | PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | D00012 (Guam) | Primary |
| Entity Name | Guam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tedd D Groshong, DO 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 Ph: (671) 647-2418 | Dr Tedd D Groshong, DO 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 Ph: (671) 647-2418 |
Dr. James W Murphy, MD FACEP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913 Phone: 671-647-2418 Fax: 671-649-5508 | |
Dr. Aaron C Johansen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913 Phone: 671-647-2418 Fax: 671-649-5508 | |
Dr. James P Last, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913 Phone: 671-647-2418 Fax: 671-649-5508 |