Active NPI
Samuel Friedman, M.D.
- Hematology & Oncology Physician
- Tamuning, GU
National Provider Identifier
1891747069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- M001476
- Practice address
- Guam Medical Plaza
633 Gov. Carlos Camacho Rd. Ste B5
Tamuning, GU 96913-3194 - Phone
- (671) 647-4656
- Fax
- (671) 647-4660
- NPI assigned
- May 16, 2006
- Last updated
- Apr 26, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | M001476 | GU | Primary |
| Hematology & Oncology Physician | 207RH0003X | MD 00033258 | WA | |
| Hematology & Oncology Physician | 207RH0003X | G20360 | CA |
Addresses
Primary practice location
Guam Medical Plaza
633 Gov. Carlos Camacho Rd. Ste B5
Tamuning, GU 96913-3194
Mailing address
Guam Medical Plaza
633 Gov. Carlos Camacho Rd. Ste B5
Tamuning, GU 96913-3194
Phone (671) 647-4656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F-0096744 | Medicaid | GU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114280 | NY | MD | Mental Health Counselor |
| G20360 | CA | MD | Hematology & Oncology Physician |
| MD 00033258 | WA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westpac Hematology & Oncology Center Inc | Hematology & Oncology | Current | Accepting new patients |
Locations
633 Gov Carlos G Camacho Rd
Ste B5
Tamuning, GU 96913
Phone (671) 647-4656
Organizations & group practices 1
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.
-
dba Cancer Center of Guam
- Hematology & Oncology Physician
- Tamuning, GU
- NPI 1467936195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1891747069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GUAM MEDICAL PLAZA",
"address_2": "633 GOV. CARLOS CAMACHO RD. STE B5",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133194",
"telephone_number": "671-647-4656",
"fax_number": "671-647-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GUAM MEDICAL PLAZA",
"address_2": "633 GOV. CARLOS CAMACHO RD. STE B5",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133194",
"telephone_number": "671-647-4656",
"fax_number": "671-647-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GU",
"license": "M001476",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD 00033258",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G20360",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F-0096744",
"state": "GU"
}
],
"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 Apr 26, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.