DR. TEDD D GROSHONG (NPI# 1831246065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831246065 |
| Entity Type | Individual |
| Full Name | DR. TEDD D GROSHONG |
| Credential | DO |
| Practice Address |
850 Governor Carlos Camacho Road Oka Tamuning GU 96913-3128 |
| Practice Telephone | 6716472418 |
| Practice Fax Number | 6716495508 |
| Mailing Telephone | 6716472418 |
| Mailing Fax Number | 6716495508 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
D00012 | GU | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PIN | 0000LCBST | 01 |
| Street Address |
850 GOVERNOR CARLOS CAMACHO ROAD |
| City | OKA TAMUNING |
| State | GU |
| Zip Code | 96913-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366519027 | Guam Memorial Hospital | General Acute Care Hospital | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2006-11-29 |
| 1396934253 | Guam Memorial Hospital | Clinic/Center | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-10-17 |
| 1720284425 | Rengaraju Ramasamy | Internal Medicine | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-06-21 |
| 1467591156 | Lourdes C Basilio | Anesthesiology | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-02-06 |
| 1629120381 | John Y Young | Radiology | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-01-16 |
| 1760539472 | James P Last | Emergency Medicine | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-01-04 |
| 1437206133 | Goldelina L Marfori | Anesthesiology | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-01-04 |
| 1720135429 | John H Garrido | Pediatrics | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3126 | 2007-01-04 |
| 1477600187 | Jonathan Sidell | Obstetrics & Gynecology | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-01-04 |
| 1639226863 | Aaron C Johansen | Emergency Medicine | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-01-03 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013074244 | James W Murphy | Emergency Medicine | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-01-03 |
| City | OKA TAMUNING |
| Zip Code | 96913 |
Please comment or provide details below to improve the information on DR. TEDD D GROSHONG.
| 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.