Guam Surgicenter, LLC
NPI 1548443062ActiveOrganization· Specialist· Tamuning, GU
Specialist in Tamuning, Guam, registered in NPPES in December 2007, part of Guam Surgicenter, LLC. The authorized official on file is Charles K. Tanner, CHE, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548443062 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Guam Surgicenter, LLC |
| NPI issued | Dec 6, 2007 |
| Last updated in NPPES | Dec 6, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 13200100529001 | GU |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GU) |
|---|
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