Organization Active NPI

Medical Professionals, PC

  • Specialist
  • Tamuning, GU
National Provider Identifier
1386822823
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13200702154001 Issued in GU
Legal business name
MEDICAL PROFESSIONALS, PC
Practice address
633 Governor Carlos Camacho Rd.
Suite 203
Tamuning, GU 96913
Phone
(671) 646-3835
Fax
(671) 646-3834
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Fell, MEDICAL DOCTOR
Title
Owner
Phone
(671) 646-3835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13200702154001 GU Primary

Addresses

Primary practice location

633 Governor Carlos Camacho Rd.
Suite 203
Tamuning, GU 96913

Mailing address

633 Governor Carlos Camacho Rd.
Suite 203
Tamuning, GU 96913
Phone (671) 646-3835

National Provider Directory

National Provider Directory

Locations

850 Gov Carlos G Camacho Rd
#203
Tamuning, GU 96913
Phone (671) 646-3855

850 Gov Carlos G Camacho Rd
Ste 203
Tamuning, GU 96913
Phone (671) 647-2939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1386822823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOVERNOR CARLOS CAMACHO RD.",
            "address_2": "SUITE 203",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-3835",
            "fax_number": "671-646-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOVERNOR CARLOS CAMACHO RD.",
            "address_2": "SUITE 203",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-3835",
            "fax_number": "671-646-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "FELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "671-646-3835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GU",
            "license": "13200702154001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.