Guam Medical Health Care Center, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M1705 Issued in GU

Legal business name

GUAM MEDICAL HEALTH CARE CENTER, INC.

Practice address

1757 Army Dr
Suite 108
Tamuning, GU 96913-1260

Phone

(671) 647-4533

Fax

(671) 647-1110

NPI assigned

Jul 2, 2012

Last updated

Apr 10, 2014By 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

Mrs. Eden E Villa, M.D.NPI 1538108303

Title

Physician/Director

Phone

(671) 647-4533

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Locations

Practitioners 5

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.

• Eden Villa, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1538108303

  GU

  Medicare reassignment NPD Authorized official
• Leopoldo Clava Arcilla Jr., MD

  • Internal Medicine Physician
  • Mangilao, GU
  • NPI 1144364753
  NPD (past)
• Peter KH Go, M.D.

  • Surgery Physician
  • Tamuning, GU
  • NPI 1932202298
  NPD (past)
• Romeo M Samonte, M.D.

  • Internal Medicine Physician
  • Tamuning, GU
  • NPI 1073674685
  NPD (past)
• Angela Therese Lantin, MD

  • Family Medicine Physician
  • Phillipsburg, NJ
  • NPI 1083893689
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1902160211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR",
            "address_2": "SUITE 108",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR",
            "address_2": "SUITE 108",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM MEDICAL HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "671-647-4533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M1705",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GU",
            "license": "M-1705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guam Geriatrics Clinic
• Guam Hematology Oncology Associates, Inc.
• Guam Medical Care, LLC
• Guam Medical Equipment and Supplies, LLC
• Guam Medical Equipment, LLC (Guam Medical)
• Guam Medical Imaging Center LLC
• Guam Medical Pharmacy Corporation (Guam Medical Pharmacy)
• Guam Memorial Hospital
• Guam Psychiatric Services, LLC
• Guam Rexall Drugs

• Internal Medicine Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Internal Medicine Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.