DR. SCOTT R. SHAY (NPI# 1720175847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720175847 |
| Entity Type | Individual |
| Full Name | DR. SCOTT R. SHAY |
| Credential | M.D. |
| Practice Address |
133 Route 3 Guam Regional Medical City Dededo GU 96929-6911 |
| Mailing Address |
Po Box 3830 Guam Regional Medical City Hagatna GU 96932-3830 |
| Practice Telephone | 6716455500 |
| Mailing Telephone | 6716455500 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
M-1951 | GU | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD444013 | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M-1951 | GU | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD444013 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
M-1951 | GU | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026448230001 | 05 |
| Street Address |
133 ROUTE 3 GUAM REGIONAL MEDICAL CITY |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929-6911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528058161 | Richard S Young | Radiology | 133 Route 3, Dededo, GU 96929-6911 | 2005-10-25 |
| 1427613660 | Cherry Ann Lopez Alamares | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-05-02 |
| 1265993737 | Marina Ng | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2019-03-27 |
| 1861958837 | Janice Roque Baldonado | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-14 |
| 1114483260 | Melliza Young | Health Educator | 133 Route 3, Dededo, GU 96929-6911 | 2019-02-13 |
| 1861977266 | Elisabeth J Collins | Nurse Practitioner | 133 Route 3, Dededo, GU 96929-6911 | 2018-10-01 |
| 1407356272 | Nicole L.p Duenas | Speech-Language Pathologist | 133 Route 3, Dededo, GU 96929-6911 | 2018-02-18 |
| 1851803845 | Kathleen Jensen | Registered Nurse | 133 Route 3, Dededo, GU 96929-6911 | 2017-10-30 |
| 1184141020 | Ana Taitano Cruz | Physical Therapist | 133 Route 3, Dededo, GU 96929-6911 | 2017-08-22 |
| 1275062150 | Marianys Delgado Alazo | Registered Nurse | 133 Route 3, Dededo, GU 96929 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568462513 | Jeffery D. Shay | Radiology | Guam Medical Plaza, Ste. 210, 633 Gov. Camacho Rd, Tamuning, GU 96913 | 2005-07-29 |
| 1861780124 | Miran Ribati | Radiology | 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128 | 2011-07-20 |
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| 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.