Active NPI
Paul C. Coty, MD
- Hematology & Oncology Physician
- Tamuning, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- M-1839
- Practice address
- 543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630 - Phone
- (671) 649-4764
- Fax
- (671) 649-4765
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD-12487 | HI | |
| Hematology & Oncology Physician | 207RH0003X | M-1839 | GU | Primary |
Addresses
Primary practice location
543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630
Mailing address
543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630
Phone (671) 649-4764
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539596-01 | Medicaid | HI | |
| 0000242404 | Other | HI | HMSA BILLING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- State University of Ny Upstate Medical University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Guthrie Dr
Corning, NY 14830-3697
Phone (607) 937-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-12487 | HI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Hematology & Oncology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Guam Hematology Oncology Associates, Inc. | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
1082 Pale San Vitores Rd
Ste 22
Tamuning, GU 96913
Phone (671) 777-7017
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
2 Guthrie Dr
Corning, NY 14830
Phone (607) 937-3100
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- pcoty170087@direct-guthrie.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Medical Oncology Physician
- Tamuning, GU
- NPI 1871467464
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
Hematology & Oncology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1386738862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 CHALAN GUMA YU'OS",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133630",
"telephone_number": "671-649-4764",
"fax_number": "671-649-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 CHALAN GUMA YU'OS",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133630",
"telephone_number": "671-649-4764",
"fax_number": "671-649-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTY",
"first_name": "PAUL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "HI",
"license": "MD-12487",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GU",
"license": "M-1839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539596-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000242404",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.