NPIMap

Organization Active NPI

Expresscare Health and Skin Center Inc.

  • Adolescent Medicine (Family Medicine) Physician
  • Hagatna, GU
National Provider Identifier
1538544713
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
M1288 Issued in GU
Legal business name
EXPRESSCARE HEALTH AND SKIN CENTER INC.
Practice address
302 South Route 4
Suite 207
Hagatna, GU 96932
Phone
(671) 477-2873
Fax
(671) 472-2873
NPI assigned
Jul 29, 2015
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Jitka Lom, M.D.NPI 1790754679
Title
President
Phone
(671) 477-2873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X M1288 GU Primary

Addresses

Primary practice location

302 South Route 4
Suite 207
Hagatna, GU 96932

Mailing address

302 South Route 4
Suite 207
Hagatna, GU 96932
Phone (671) 477-2873

National Provider Directory

National Provider Directory

Locations

302 Route 4
Ste 207
Hagatna, GU 96910
Phone (671) 477-2873

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1538544713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SOUTH ROUTE 4",
            "address_2": "SUITE 207",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "96932",
            "telephone_number": "671-477-2873",
            "fax_number": "671-472-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SOUTH ROUTE 4",
            "address_2": "SUITE 207",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "96932",
            "telephone_number": "671-477-2873",
            "fax_number": "671-472-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSCARE HEALTH AND SKIN CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "LOM",
        "authorized_official_first_name": "JITKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "671-477-2873",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "GU",
            "license": "M1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagatna, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.