DR. JITKA LOM (NPI# 1790754679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790754679 |
| Entity Type | Individual |
| Full Name | DR. JITKA LOM |
| Credential | M.D. |
| Practice Address |
280 Pale San Vitores Rd Tamuning GU 96913-3615 |
| Practice Telephone | 6716474542 |
| Practice Fax Number | 6716474558 |
| Mailing Telephone | 6716474542 |
| Mailing Fax Number | 6716474558 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MOO1288 | GU | Allopathic & Osteopathic Physicians |
| Street Address |
280 PALE SAN VITORES RD |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740259613 | Kia M Rahmani | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2006-03-14 |
| 1487147161 | Rest Assured Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2018-06-07 |
| 1780020586 | Alexandra Herrero Leon Guerrero | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2013-05-20 |
| 1245538669 | Kevin John Sullivan | Nurse Anesthetist, Certified Registered | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2011-03-09 |
| 1376868281 | Daniel C Medina | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2010-04-02 |
| 1881929842 | Hafa Adal Specialist Group, LLP | Clinic/Center | 280 Pale San Vitores Rd, Sunflower Villa, Tamuning, GU 96913-3615 | 2009-10-08 |
| 1184892218 | Kirk Bellis | Psychiatry & Neurology | 280 Pale San Vitores Rd, Sunflower Villa Suite 205, Tamuning, GU 96913-3615 | 2008-02-12 |
| 1396925608 | Melany Camille Hughes | Surgery | 280 Pale San Vitores Rd, Hafa Adai Specialist Group, Tamuning, GU 96913-3615 | 2007-11-05 |
| 1235141060 | Hafa Specialist Group LLP | Specialist | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2006-08-12 |
| 1487623856 | John A Fegurgur | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558623447 | Brian Scott Ford | Family Medicine | 50 Farenholt Ave, Tamuning, GU 96913-3106 | 2012-06-15 |
| 1417157397 | Ugochukwu E Akoma | Family Medicine | 633 Gov Carlos G Camacho Rd Ste 103, Tamuning, GU 96913-3143 | 2007-07-19 |
| 1154543874 | Ricardo Mark Terlaje | Family Medicine | 125 Carlos Ln, Tamuning, GU 96913-4339 | 2007-05-03 |
| 1063545002 | Maria Melissa Sangalang Samaniego | Family Medicine | 355 Chalan Pasahern Rte 10a, Cmi Family Medical Center, Tamuning, GU 96913 | 2007-03-13 |
| 1922023654 | Arania Oceanis Adolphson | Family Medicine | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2006-07-13 |
| 1669443024 | Mary F Beckett | Family Medicine | 263 Vietnam Veterans Mem Hwy, Tamuning, GU 96913-3979 | 2006-02-01 |
| 1144702473 | Sir Akoma Medical Services | Family Medicine | 633 Gov Carlos G Camacho Rd Ste 103, Tamuning, GU 96913-3143 | 2018-09-04 |
| 1992067474 | Jeremy Steven Raab | Family Medicine | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2012-06-11 |
| 1821356247 | Mariana L.g. Cook-huynh | Family Medicine | 472 Chalan San Antonio, Pemar Place, Tamuning, GU 96913-3605 | 2012-04-24 |
| 1740515030 | Julie S Namm | Family Medicine | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2009-10-05 |
| Find all providers in TAMUNING | ||||
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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.