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 PositionMichael W Cruz (CHIEF OPERATING 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 Date07/22/2016

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 Angela Labrunda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902081318
PECOS PAC ID: 3072695741
Enrollment ID: I20080204000180
Provider NameChen I Huang
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1184720807
PECOS PAC ID: 9335194752
Enrollment ID: I20100428000541
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 NameWende R Buras
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376500587
PECOS PAC ID: 6204807985
Enrollment ID: I20141202000638
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 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 J 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 Arkless
Provider TypePractitioner - Family Medicine
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 NameVasin Jungtrakoolchai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528398682
PECOS PAC ID: 5193999134
Enrollment ID: I20151211000544
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 Medicine
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 NameJulianne S Abuda
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1962872713
PECOS PAC ID: 4981994514
Enrollment ID: I20160609001171
Provider NameIbrahim 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 NameVictor Pacheco-fowler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275566309
PECOS PAC ID: 4880688977
Enrollment ID: I20160804002444
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 NameSarah E Baddorf
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588981161
PECOS PAC ID: 5597908970
Enrollment ID: I20160906000743
Provider NameGlynis Grace S Almonte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912378639
PECOS PAC ID: 4183910946
Enrollment ID: I20160906001135
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 Medicine
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 M 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 NameJonathan Charles Jensen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396149134
PECOS PAC ID: 5597088500
Enrollment ID: I20161116002901
Provider NameNicholas R Villalon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942525332
PECOS PAC ID: 6204063662
Enrollment ID: I20161121001662
Provider NameDaniel James 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 NameDavid N Dubois
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578501268
PECOS PAC ID: 9537221213
Enrollment ID: I20170209001341
Provider NameSheri Foote
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1528140621
PECOS PAC ID: 1658371786
Enrollment ID: I20170215001397
Provider NameMa Farah Diva L Cunanan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598889982
PECOS PAC ID: 2264715283
Enrollment ID: I20170216001166
Provider NamePhilip Hernandez
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770950099
PECOS PAC ID: 5991008583
Enrollment ID: I20170223001186
Provider NameKenneth Tan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306008834
PECOS PAC ID: 1153485438
Enrollment ID: I20170308002673
Provider NameRegina A Day
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1740729086
PECOS PAC ID: 5092090977
Enrollment ID: I20170315001443
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 NameTeresa L Anderson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1982020392
PECOS PAC ID: 7719254945
Enrollment ID: I20170518001897
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 R 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 NameTeresa Tram N Underwood
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528125978
PECOS PAC ID: 4284528472
Enrollment ID: I20170802003550
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
Enrollment ID: I20170823004406
Provider NameJoseph G Wiedermann
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1952334542
PECOS PAC ID: 5092878280
Enrollment ID: I20170824003651
Provider NameAlejandro R Prieto
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1235191883
PECOS PAC ID: 3072500065
Enrollment ID: I20170824003699
Provider NameMichelle Mercia Mouria
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861648974
PECOS PAC ID: 4486785409
Enrollment ID: I20170828001586
Provider NameJoel Vanderford
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770787400
PECOS PAC ID: 0345513230
Enrollment ID: I20170828003609
Provider NameChristian Ada Eusebio
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457643025
PECOS PAC ID: 3779720685
Enrollment ID: I20170901001411
Provider NameRaymattie Singh
Provider TypePractitioner - Family Medicine
Provider IdentifiersNPI Number: 1235231069
PECOS PAC ID: 3779507553
Enrollment ID: I20170905002893
Provider NameSurita D Persaud
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427325562
PECOS PAC ID: 2365600772
Enrollment ID: I20170914002543
Provider NameHank Curtis Hill
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063497097
PECOS PAC ID: 5294794806
Enrollment ID: I20170925002806
Provider NameAdrian Cora-morges
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568807584
PECOS PAC ID: 7113291337
Enrollment ID: I20170926003362
Provider NameAlexander Sasha Rackman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255775805
PECOS PAC ID: 1456642800
Enrollment ID: I20171002002831
Provider NameMana Dissadee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720390206
PECOS PAC ID: 2466727037
Enrollment ID: I20171006001908
Provider NameEdward Evans
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1083799985
PECOS PAC ID: 7012815046
Enrollment ID: I20171012001003
Provider NameTimothy H Moon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346654290
PECOS PAC ID: 1153608393
Enrollment ID: I20171012001187
Provider NameGordon T Markham
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043447113
PECOS PAC ID: 0042585002
Enrollment ID: I20171102003219
Provider NameDavid Joseph Woska
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518923630
PECOS PAC ID: 1658314109
Enrollment ID: I20171220001984
Provider NameShadia Santos Constantine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467610006
PECOS PAC ID: 4789746124
Enrollment ID: I20171226001450
Provider NameSuwarat Wongjittraporn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619263134
PECOS PAC ID: 6800015231
Enrollment ID: I20180109001845
Provider NameOrnusa Teerasukjinda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457647760
PECOS PAC ID: 1254550254
Enrollment ID: I20180129001401
Provider NameLauren Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992174122
PECOS PAC ID: 3375823792
Enrollment ID: I20180308002007
Provider NameNicole Lp Duenas
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407356272
PECOS PAC ID: 3577824432
Enrollment ID: I20180309002229
Provider NameTravis Waller
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568705879
PECOS PAC ID: 9830451756
Enrollment ID: I20180313000061
Provider NameBrian Duane Fitch
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1780692095
PECOS PAC ID: 1355528829
Enrollment ID: I20180315001247
Provider NameSaurabh Rana
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538573068
PECOS PAC ID: 3678846235
Enrollment ID: I20180319002861
Provider NameKathleen Jensen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851803845
PECOS PAC ID: 1850653213
Enrollment ID: I20180322001874
Provider NameAdrian M Medina
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1669929246
PECOS PAC ID: 8820350820
Enrollment ID: I20180402000664
Provider NameRaymond James Walsh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306983093
PECOS PAC ID: 6901985860
Enrollment ID: I20180409000501
Provider NameEric Russell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215249362
PECOS PAC ID: 9638432453
Enrollment ID: I20180409002388
Provider NameKirsten Blomberg
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1396243366
PECOS PAC ID: 6608139423
Enrollment ID: I20180409002554
Provider NameRomel Navarro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053389718
PECOS PAC ID: 4284528357
Enrollment ID: I20180416001649
Provider NameLevi Kitchen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235339383
PECOS PAC ID: 0143467233
Enrollment ID: I20180419002106
Provider NameJuergen Lang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053471102
PECOS PAC ID: 3375615719
Enrollment ID: I20180420002137
Provider NameFil D Barrozo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568406312
PECOS PAC ID: 0749232437
Enrollment ID: I20180424002301
Provider NameRene Chalom
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407816481
PECOS PAC ID: 6800874413
Enrollment ID: I20180502001207
Provider NamePhillip Tutnauer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1346397981
PECOS PAC ID: 3971682550
Enrollment ID: I20180503001773
Provider NameDennis Beckworth
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1265460661
PECOS PAC ID: 9335038983
Enrollment ID: I20180601000774
Provider NameCraig A Settle
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417016098
PECOS PAC ID: 4486785474
Enrollment ID: I20180607000727
Provider NameJeena Jiyeon Yoo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053678581
PECOS PAC ID: 4385999382
Enrollment ID: I20180614002843
Provider NameBenjamin Lesar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548528003
PECOS PAC ID: 6204123706
Enrollment ID: I20180618000846
Provider NameAna Taitano Cruz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184141020
PECOS PAC ID: 4981959590
Enrollment ID: I20180622001959
Provider NameSebastian Wright Lara
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710240189
PECOS PAC ID: 6103057021
Enrollment ID: I20180703001765
Provider NameJose G Hernandez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174677207
PECOS PAC ID: 3476570474
Enrollment ID: I20180703002271
Provider NameChristopher Adi Tan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912902602
PECOS PAC ID: 2365413853
Enrollment ID: I20180703002921
Provider NameVanessa Anne Agpaoa Concina
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336453919
PECOS PAC ID: 7618224775
Enrollment ID: I20180719002816
Provider NameDore R Shafransky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750336178
PECOS PAC ID: 4183527336
Enrollment ID: I20180727002786
Provider NameCheryll Lueke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528428364
PECOS PAC ID: 1254689664
Enrollment ID: I20180801001829
Provider NameVerrad Kwasi Owusu Nyame
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1376837476
PECOS PAC ID: 6204126923
Enrollment ID: I20180802003409
Provider NameKatrina Tan Ibonia
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811200124
PECOS PAC ID: 0244588218
Enrollment ID: I20180807004032
Provider NamePeachy Mae Tadifa Piana-pacheco
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1154617835
PECOS PAC ID: 8921390717
Enrollment ID: I20180820002775
Provider NameJunriel G Roa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609267947
PECOS PAC ID: 7517284664
Enrollment ID: I20180823000511
Provider NameJoseph Boice
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1538471057
PECOS PAC ID: 9638438583
Enrollment ID: I20180823002797
Provider NameAna Milena Sanchez Varela
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972765048
PECOS PAC ID: 0547519340
Enrollment ID: I20180827002801
Provider NamePaul Smith Villaire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124327739
PECOS PAC ID: 5193085678
Enrollment ID: I20180919002574
Provider NameCarla Torres Haddock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710473996
PECOS PAC ID: 8224380936
Enrollment ID: I20181008003094
Provider NameGavin Williams Ford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376772996
PECOS PAC ID: 6507188422
Enrollment ID: I20181009000976
Provider NameMarianys Delgado Alazo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275062150
PECOS PAC ID: 4082966460
Enrollment ID: I20181012001221
Provider NameZachary Pruhs
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1760537641
PECOS PAC ID: 4082865357
Enrollment ID: I20181015001668
Provider NameDavid Griffith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194724013
PECOS PAC ID: 6305872656
Enrollment ID: I20181019002200
Provider NameJoseph H Helm
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184067837
PECOS PAC ID: 5698094043
Enrollment ID: I20181029000260
Provider NameScott Thomas Allen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1912347725
PECOS PAC ID: 7911251905
Enrollment ID: I20181109001027
Provider NameRichard M Hester
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275595126
PECOS PAC ID: 0446211502
Enrollment ID: I20181117000365
Provider NameChad Michael Springer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265751861
PECOS PAC ID: 8628388394
Enrollment ID: I20181119002928
Provider NameLaura Jillian Hoste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295149151
PECOS PAC ID: 4284951971
Enrollment ID: I20181204002964
Provider NameStacy Ann Martin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891748315
PECOS PAC ID: 1557460706
Enrollment ID: I20190115000256
Provider NameElliot Mitchell Ross
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427135516
PECOS PAC ID: 8426318759
Enrollment ID: I20190123003809
Provider NameRichard Slama
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699191635
PECOS PAC ID: 9638416456
Enrollment ID: I20190131001693
Provider NameSteven P Praske
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1679631469
PECOS PAC ID: 0749435766
Enrollment ID: I20190131002751
Provider NameElisabeth J Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861977266
PECOS PAC ID: 3375882137
Enrollment ID: I20190222001624
Provider NameNat Dumrongmongcolgul
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1891082665
PECOS PAC ID: 5092054585
Enrollment ID: I20190227002387
Provider NameJohn William Cruz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881086668
PECOS PAC ID: 1850698549
Enrollment ID: I20190228000597
Provider NameWasin Ahuja
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932584588
PECOS PAC ID: 4587962758
Enrollment ID: I20190311000682
Provider NameJames I Gragg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326426610
PECOS PAC ID: 8527308071
Enrollment ID: I20190319002300
Provider NameBrandon Hill
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245521350
PECOS PAC ID: 4587883525
Enrollment ID: I20190320001143
Provider NameCourtney Lomboy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346713187
PECOS PAC ID: 7719227974
Enrollment ID: I20190326000638
Provider NameChristopher S Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649449653
PECOS PAC ID: 3173670197
Enrollment ID: I20190416003258
Provider NameMelissa C Helm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598222465
PECOS PAC ID: 4486997483
Enrollment ID: I20190514003237
Provider NameLilia Lynch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912475872
PECOS PAC ID: 4587907969
Enrollment ID: I20190529000479
Provider NameVictoria Kamakea Ballares
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245725167
PECOS PAC ID: 8123351152
Enrollment ID: I20190606001768
Provider NameCurt Canine
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932586971
PECOS PAC ID: 4082947932
Enrollment ID: I20190606003053
Provider NameSarah Elizabeth Bumps
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366737405
PECOS PAC ID: 6305179821
Enrollment ID: I20190614000568
Provider NameRuth Elizabeth Compton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831484047
PECOS PAC ID: 9133452568
Enrollment ID: I20190617003020
Provider NameRebecca Kay Carney Calisch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093906406
PECOS PAC ID: 6901995752
Enrollment ID: I20190625000434
Provider NameKanak Naidu
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1336224799
PECOS PAC ID: 5092983759
Enrollment ID: I20190625003962
Provider NameCherry Ann Lopez Alamares
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427613660
PECOS PAC ID: 6800120569
Enrollment ID: I20190701001853
Provider NameMarina Ng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265993737
PECOS PAC ID: 8921332479
Enrollment ID: I20190703000247
Provider NameLorrance Lewis Majewski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588074678
PECOS PAC ID: 9830467737
Enrollment ID: I20190719001794
Provider NameLouis Humberto Grass
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114298338
PECOS PAC ID: 2668730326
Enrollment ID: I20190730004354
Provider NameLawrence Lee
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841670304
PECOS PAC ID: 3678885506
Enrollment ID: I20190829003099
Provider NamePaul Freeman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548605694
PECOS PAC ID: 2466769781
Enrollment ID: I20191009000220
Provider NameAndrew Oh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326381252
PECOS PAC ID: 4486986627
Enrollment ID: I20191021003267
Provider NameBryan A Zorko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821436775
PECOS PAC ID: 9133418700
Enrollment ID: I20191031002156
Provider NameDaniel Moges
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700238722
PECOS PAC ID: 1759682354
Enrollment ID: I20191104003062
Provider NameStace T Bradshaw
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760472138
PECOS PAC ID: 9335183664
Enrollment ID: I20191115000823
Provider NamePaul S Llobet
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518020502
PECOS PAC ID: 5193826543
Enrollment ID: I20191115001798
Provider NameKevin W. Lee
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194957688
PECOS PAC ID: 2466688270
Enrollment ID: I20191115002819
Provider NameBradley John Kinney
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851662936
PECOS PAC ID: 5496189300
Enrollment ID: I20200101000000
Provider NameKatherine Biggs
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881086502
PECOS PAC ID: 3476988064
Enrollment ID: I20200108000873
Provider NameGrady Ausbur Fortner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043636202
PECOS PAC ID: 8123351574
Enrollment ID: I20200123000534
Provider NameRobert A Gross
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487654240
PECOS PAC ID: 8729083563
Enrollment ID: I20200131002807
Provider NameAnshu Shukla
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588981518
PECOS PAC ID: 1052621927
Enrollment ID: I20200131002809
Provider NameSuresh Kumar Mukherji
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326129453
PECOS PAC ID: 9335280387
Enrollment ID: I20200201000005
Provider NamePamela L Caslowitz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1285626770
PECOS PAC ID: 1557350220
Enrollment ID: I20200201000007
Provider NameSarah Walden Brubaker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831553494
PECOS PAC ID: 5597191932
Enrollment ID: I20200204000956
Provider NameEmmanuel A Omoba
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346342342
PECOS PAC ID: 7517868938
Enrollment ID: I20200206001092
Provider NameAndrew Troy Loomis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467724054
PECOS PAC ID: 0345572988
Enrollment ID: I20200221002635
Provider NameJay K. Radhakrishnan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245266972
PECOS PAC ID: 1759378243
Enrollment ID: I20200224002339
Provider NameJohn S Anderson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1376607150
PECOS PAC ID: 3779675525
Enrollment ID: I20200227000793
Provider NameHolly A Llobet
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1851597785
PECOS PAC ID: 2860562386
Enrollment ID: I20200302002164
Provider NameRobert Palusinski
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770750044
PECOS PAC ID: 5294902912
Enrollment ID: I20200306001406
Provider NameAndrew Elliott Blakley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992288989
PECOS PAC ID: 0345678439
Enrollment ID: I20200324002566
Provider NameBenjamin James Archer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790028561
PECOS PAC ID: 9335578194
Enrollment ID: I20200331001476
Provider NameAndrew J Mcdonnell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1912968025
PECOS PAC ID: 3779557590
Enrollment ID: I20200424000699
Provider NameDaniel Le
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588603252
PECOS PAC ID: 5294762670
Enrollment ID: I20200522001198
Provider NameTimothy Riesenberger
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689616302
PECOS PAC ID: 2062457047
Enrollment ID: I20200615002582
Provider NameElizabeth Tan-chiu
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1538113931
PECOS PAC ID: 6709985757
Enrollment ID: I20200629000418
Provider NameEdison Pineda Manaloto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801327341
PECOS PAC ID: 5496178063
Enrollment ID: I20200715000927
Provider NameRia Arlina C. Calata
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760751903
PECOS PAC ID: 8022245232
Enrollment ID: I20200724000142
Provider NameNicholas Bandy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1982947784
PECOS PAC ID: 3577792514
Enrollment ID: I20200803001074
Provider NameStephen Griffith
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902883200
PECOS PAC ID: 0749173110
Enrollment ID: I20200806000349
Provider NameHyun M Song
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255422606
PECOS PAC ID: 1951394592
Enrollment ID: I20200813001798
Provider NameAmjad Ali Safvi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093707457
PECOS PAC ID: 7012809650
Enrollment ID: I20200813003010
Provider NameSteven P Braff
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558302794
PECOS PAC ID: 4284536582
Enrollment ID: I20200818001338
Provider NameHarlan G Herr
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043269699
PECOS PAC ID: 9638081771
Enrollment ID: I20200826003132
Provider NameNina Thai
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1356645865
PECOS PAC ID: 8224214481
Enrollment ID: I20200901003570
Provider NameLawrence L. Williams
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1386907129
PECOS PAC ID: 5799917209
Enrollment ID: I20201104002309
Provider NameLinda Kay Carney
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356317929
PECOS PAC ID: 6800848565
Enrollment ID: I20201222002531
Provider NameJonathan Kim
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023270774
PECOS PAC ID: 6406025956
Enrollment ID: I20201230000830
Provider NameBrian James
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376905570
PECOS PAC ID: 6507159621
Enrollment ID: I20210113002065
Provider NameDennis Burton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043298417
PECOS PAC ID: 7416857388
Enrollment ID: I20210114000436
Provider NameOleg Odin
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1851704076
PECOS PAC ID: 5890080550
Enrollment ID: I20210114001312
Provider NameChi-chan Lee
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1831515865
PECOS PAC ID: 2961754411
Enrollment ID: I20210121002176
Provider NameBarbara A Hum
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699709618
PECOS PAC ID: 6709820376
Enrollment ID: I20210202001060
Provider NameTammy M Allen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861550865
PECOS PAC ID: 0244256196
Enrollment ID: I20210210002679
Provider NameWarren S Krackov
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689641136
PECOS PAC ID: 0547230476
Enrollment ID: I20210217002429
Provider NameKelly Gray
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912248477
PECOS PAC ID: 0749531689
Enrollment ID: I20210224001238
Provider NameCharmaine Gregory
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033156773
PECOS PAC ID: 0345271268
Enrollment ID: I20210224001903
Provider NameMatthew Chanin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063410868
PECOS PAC ID: 1254335441
Enrollment ID: I20210305000654
Provider NameGale A 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 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

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    
International Health Providers, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
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
Guam Department Of Public Health Northern Region Community Health Cent
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 520 W Santa Monica Ave, Dededo, GU 96929
Phone: 671-635-7492    Fax: 671-635-7493

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.