Tiffany J Troxel, PAC
Individual provider Active NPI Medical Physician Assistant · Sinajana, GU
NPI 1124082227 · NPPES record last updated Apr 10, 2017
Key facts
- NPI
- 1124082227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA-71 (GU)
- Practice address
- 736 Route 4
Suite 103
Sinajana, GU 96910-3368 - Phone
- (671) 649-7232
- Fax
- (671) 649-7233
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071210000558 | GU | Practitioner - Physician Assistant | 1850480153 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-71 | GU | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Advanced Eyecare, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-71 | GU | Yes |
Addresses
Primary practice location
736 Route 4
Suite 103
Sinajana, GU 96910-3368
Mailing address
PO Box 8838
Tamuning, GU 96931-8838
Phone (671) 647-5355
Other providers in Sinajana, GU
- Saied Safabakhsh
- Dennise Estefania Salazar
- Mary Grace Aguilar Santos
- Joan Bernadette Swaddell
- Megan Taylor
- Wil-Mar Corporation
All providers in Sinajana, GU · Medical Physician Assistant in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.