GUAM SURGICENTER CLINIC
NPI 1548443062
Specialist in Tamuning, GU

Active since December 06, 2007
633 CARLOS CAMACHO ROAD, SUITE 203, TAMUNING, GU 96913(671) 646-3855(671) 646-3854 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Guam Surgicenter Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUAM SURGICENTER CLINIC (NPI 1548443062) is a healthcare organization registered as a specialist in Tamuning, Guam and active in the NPI registry since December 2007. The organization lists Charles K. Tanner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1548443062
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGUAM SURGICENTER, LLC
Location Address633 CARLOS CAMACHO ROAD, SUITE 203Tamuning, GU 96913-3127
Mailing Address633 Carlos Camacho Road, Suite 203Tamuning, GU 96913-3127 · (671) 646-3855 · Fax (671) 646-3854
Fax(671) 646-3854
Organization SubpartYes
Authorized OfficialCharles K. TannerAdministrator · (671) 646-3855
Enumeration DateDecember 6, 2007
✔ NPI 1548443062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GU · 13200100529001
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
633 CARLOS CAMACHO ROAD, Tamuning, GU 96913

Other Names 1

Doing Business AsGuam Surgicenter Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Guam Surgicenter Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Guam Surgicenter Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Radiation Oncology
NPI 1922114826
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-6761
✔ PECOS✔ Accepts Medicare6,448 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guam Surgicenter, LLC's NPI number?

The NPI number for Guam Surgicenter, LLC is 1548443062. It was assigned to this organization in the NPPES registry on December 6, 2007. The provider is doing business as Guam Surgicenter Clinic.

Where is Guam Surgicenter, LLC located?

Guam Surgicenter, LLC is located at 633 Carlos Camacho Road Suite 203, Tamuning, GU 96913. The listed phone number is (671) 646-3855.

What is Guam Surgicenter, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Guam Surgicenter, LLC enrolled in Medicare?

Yes. Guam Surgicenter, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Guam Surgicenter, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Radiation Oncology) reassigns their Medicare billing to Guam Surgicenter, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Guam Surgicenter, LLC was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.