| Blue Ocean Medical Group Llc | |
|
655 Harmon Loop Rd Ste 108 Dededo GU 96929-6544 | |
| (671) 633-4447 | |
| Not Available |
| Full Name | Blue Ocean Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 655 Harmon Loop Rd Ste 108, Dededo, Guam |
| Authorized Official Name and Position | Hieu T Campus (OWNER) |
| Authorized Official Contact | 6716334447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ocean Medical Group Llc 655 Harmon Loop Rd Ste 108 Dededo GU 96929-6544 Ph: (671) 633-4447 | Blue Ocean Medical Group Llc 655 Harmon Loop Rd Ste 108 Dededo GU 96929-6544 Ph: (671) 633-4447 |
| NPI Number | 1235791203 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 07/01/2019 |
| Medicare PECOS PAC ID | 1153651112 |
|---|---|
| Medicare Enrollment ID | O20190918001926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235791203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Arania Adolphson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922023654 PECOS PAC ID: 3971500687 Enrollment ID: I20071016000014 |
| Provider Name | Luis G Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568649606 PECOS PAC ID: 6406991728 Enrollment ID: I20101025000623 |
| Provider Name | Florencio T Lizama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538220553 PECOS PAC ID: 9133110273 Enrollment ID: I20130802000085 |
| Provider Name | Hieu T Campus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689629362 PECOS PAC ID: 0143369314 Enrollment ID: I20131112000647 |
| Provider Name | Mark A Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861494866 PECOS PAC ID: 0244529568 Enrollment ID: I20160510000792 |
| Provider Name | Adrian Cora-morges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568807584 PECOS PAC ID: 7113291337 Enrollment ID: I20170926003362 |
| Provider Name | Sarah M Kiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477118255 PECOS PAC ID: 0941532006 Enrollment ID: I20191023001594 |
| Provider Name | Andrew Elliott Blakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992288989 PECOS PAC ID: 0345678439 Enrollment ID: I20200324002566 |
| Provider Name | Leslie Marie Filler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316424666 PECOS PAC ID: 0648521716 Enrollment ID: I20220901000665 |
| Provider Name | Alexandra Hamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316406150 PECOS PAC ID: 6507242989 Enrollment ID: I20221008000378 |
| Provider Name | Alan Taira Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255707717 PECOS PAC ID: 5799129524 Enrollment ID: I20240220001569 |
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