Guam Urology, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M-1855 Issued in GU

Legal business name

GUAM UROLOGY, LLC

Practice address

633 Gov Carlos G Camacho Rd
#104
Tamuning, GU 96913-3194

Phone

(671) 646-8765

Fax

(671) 646-8763

NPI assigned

May 7, 2017

Last updated

May 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann Fenton, M.D.NPI 1144208851

Title

Physician Owner

Phone

(671) 646-8765

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Fenton, M.D.

  • Urology Physician
  • Tamuning, GU
  • NPI 1144208851
  NPD Authorized official
• Virgilio Garcia Petero Jr, MD

  • Urology Physician
  • Dededo, GU
  • NPI 1528228798
  NPD
• Nicholas Ray Rocco, M.D.

  • Urology Physician
  • Camp Pendleton, CA
  • NPI 1538508379
  NPD
• Jerry Reyes Castro, M.D.

  • Otolaryngology Physician
  • Tamuning, GU
  • NPI 1326231655
  NPD (past)

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

{
    "created_epoch": "1494115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494115200000",
    "number": "1497281687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD",
            "address_2": "#104",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-646-8765",
            "fax_number": "671-646-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD",
            "address_2": "#104",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-646-8765",
            "fax_number": "671-646-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-07",
        "last_updated": "2017-05-07",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "671-646-8765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GU",
            "license": "M-1855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Guam Surgicenter, LLC
• Guam Surgicenter, LLC (Guam Surgicenter Clinic)
• Guam X-Ray (Guam Radiology Consultants)
• Crystally Heart Guanga
• Esther Lee Guard, D.O.
• Gurusamy Inc. (Health Services of the Pacific - Home Care)
• Pablo Soriano Guzman, M.D.

• Urology Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Urology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2017; 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.