MR. CHARLES WYNTER MCCREADY III (NPI# 1700855426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700855426 |
| Entity Type | Individual |
| Full Name | MR. CHARLES WYNTER MCCREADY III |
| Credential | IDC |
| Practice Address |
U.S. Naval Hospital Guam Bldg 1 Farenholt Ave Agana Heights GU 96910 |
| Mailing Address |
171 Plumeria St Santa Rita GU 96915-2014 |
| Practice Telephone | 6713449340 |
| Mailing Telephone | 6715650171 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
CA | Other Service Providers |
| Street Address |
U.S. NAVAL HOSPITAL GUAM BLDG 1 FARENHOLT AVE |
| City | AGANA HEIGHTS |
| State | GU |
| Zip Code | 96910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709768 | Kristina Vogel Morocco | Obstetrics & Gynecology | U.S. Naval Hospital Guam, Farenholt Street Building K-1, Agana Heights, GU 96919 | 2005-09-08 |
| 1255302485 | Thomas C Baugh | Emergency Medicine | U.S. Naval Hospital Guam, Farenholt Street, Building K-1, Agana Heights, GU 96919 | 2006-01-27 |
| 1578542379 | Terry S. West | Dentist | U.S. Naval Hospital Guam, Farenholt Street Building K-1, Agana Heights, GU 96919 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725839 | Eduardo Servin | Military Health Care Provider | Naval Base Guam, Eodmu 5, Santa Rita, GU 96540-0003 | 2018-03-26 |
| 1003009267 | Craig Steven Bosley | Military Health Care Provider | 10 Orote Point Rd, Santa Rita, GU 96915-1130 | 2007-08-21 |
| 1053380303 | Jason C Spurgers | Military Health Care Provider | 167 Plumeria, Santa Rita, GU 96915 | 2006-03-17 |
| City | AGANA HEIGHTS |
| Zip Code | 96910 |
Please comment or provide details below to improve the information on MR. CHARLES WYNTER MCCREADY III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.