PACIFIC CARDIOLOGY CONSULTANTS LLC (NPI# 1013278936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013278936 |
Entity Type | Organization |
Organization Name | PACIFIC CARDIOLOGY CONSULTANTS LLC |
Practice Address |
633 Gov Carlos G Camacho Rd Suite 210, Guam Medical Plaza Tamuning GU 96913 |
Mailing Address |
633 Gov Carlos G Camacho Rd Suite 210, Guam Medical Plaza Tamuning GU 96913-3194 |
Practice Telephone | 6716491001 |
Practice Fax Number | 6716491002 |
Mailing Telephone | 6714887775 |
Enumeration Date | 2012-06-07 |
Last Update Date | 2018-05-15 |
Authorized Official Name | TERRI CASE (RCM) |
Authorized Official Telephone | 6714887775 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
Street Address |
633 GOV CARLOS G CAMACHO RD SUITE 210, GUAM MEDICAL PLAZA |
City | TAMUNING |
State | GU |
Zip Code | 96913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699768093 | Ac Micro Guam LLC | Anesthesiology | 633 Gov Carlos G Camacho Rd, Ste 101 Guam Medical Plaza, Tamuning, GU 96913-3143 | 2005-08-31 |
1497281687 | Guam Urology, LLC | Urology | 633 Gov Carlos G Camacho Rd, #104, Tamuning, GU 96913-3194 | 2017-05-07 |
1427441666 | Pacific Pulmonology Consultants | Internal Medicine | 633 Gov Carlos G Camacho Rd, Ste 206, Tamuning, GU 96913-3194 | 2015-03-12 |
1689009318 | Maria Melinda B Sangalang | Clinic/Center | 633 Gov Carlos G Camacho Rd, Suite 212, Tamuning, GU 96913-3195 | 2013-09-12 |
1487907234 | Guam Geriatrics Clinic | Clinic/Center | 633 Gov Carlos G Camacho Rd, Ste. 205, Tamuning, GU 96913-3194 | 2012-10-17 |
1154614527 | Pacific Urology Consultants LLC | Urology | 633 Gov Carlos G Camacho Rd, Suite 210, Tamuning, GU 96913-3194 | 2011-05-18 |
1275846602 | Island Medical Specialists PC | Orthopaedic Surgery | 633 Gov Carlos G Camacho Rd, Guam Plaza Ste 212, Tamuning, GU 96913-3194 | 2010-07-14 |
1083946933 | Guam Surgicenter, LLC | Clinic/Center | 633 Gov Carlos G Camacho Rd, Guam Medical Plaza Suite 101, Tamuning, GU 96913-3194 | 2010-02-03 |
1295910255 | Rsa - Guam, LLC | Clinic/Center | 633 Gov Carlos G Camacho Rd, Suite 106, Tamuning, GU 96913-3194 | 2008-01-08 |
1376767426 | Guam X-ray | Radiology | 633 Gov Carlos G Camacho Rd, Guam Medical Plaza, Suite 210, Tamuning, GU 96913 | 2007-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
Find all providers in zip 96913 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.