Carmen R Fuentes (NPI# 1639361033, PAC ID# 1759437833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1639361033 |
| PAC ID by PECOS | 1759437833 |
| Professional Enrollment ID | I20101101000041 |
| Full Name | Carmen R Fuentes |
| Organization Legal Name | NEUROLOGY CONSULANTS OF TIDEWATER PLLC |
| Address |
6161 Kempsville Cir Suite 315 Norfolk VA 23502-3932 |
| Phone Number | 7574615400 |
| Gender | F |
| Medical School | PONCE SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 9739175928 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 | 7574615400 | NEUROLOGY CONSULANTS OF TIDEWATER PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 36% | |
| MIPS_EC_290_overall | Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease | 93% |
| Organization Legal Name | NEUROLOGY CONSULANTS OF TIDEWATER PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armistead D Williams | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Marcus Rice | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Mary Allison Bowles | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Lina Wang | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Ingrid P Loma Miller | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Robert J Lanoue Jr. | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Joseph Hogan | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Anne D Redding | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Renee Scott Walker | Physician Assistant | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Firas Beitinjaneh | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Street Address |
6161 KEMPSVILLE CIR SUITE 315 |
| City | NORFOLK |
| State | VA |
| Zip | 23502-3932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Gilbert | Physical Therapy | Tidewater Physical Therapy LLC | 6161 Kempsville Cir, Suite 250, Norfolk, VA 23502-3950 |
| Malena C Sample | Obstetrics/gynecology | Elite Women's Care | 6161 Kempsville Cir, Suite 340, Norfolk, VA 23502-3950 |
| Armistead D Williams | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Mark J Mccarthy | Ophthalmology | 6161 Kempsville Cir, Norfolk, VA 23502-3932 | |
| Marcus Rice | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Mary Allison Bowles | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Haritha Narla | Rheumatology | Bayview Physician Services PC | 6161 Kempsville Cir, Suite 225, Norfolk, VA 23502-3932 |
| Lina Wang | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Ingrid P Loma Miller | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Robert J Lanoue Jr. | Neurology | Neurology Consulants of Tidewater Pllc | 6161 Kempsville Cir, Suite 315, Norfolk, VA 23502-3932 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Desilva | Psychologist, Clinical | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Kurt K Devito | Optometry | Drs. Devito and Martin Od | 125 Janaf Sc, Norfolk, VA 23502 |
| Jean Schlichter | Clinical Social Worker | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Charles E Parker | Psychiatry | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Richard A Martin | Optometry | Drs. Devito and Martin Od | 125 Janaf Sc, Norfolk, VA 23502 |
| Kenneth J Schlichter | Clinical Psychologist | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Paul B Rosenberg | Clinical Social Worker | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Norfolk, VA 23502 |
| Gregg A Jensen | Psychologist, Clinical | 6353 Ctr Dr, Suite 204, Norfolk, VA 23502-0001 | |
| Merle B Martin Ii | Psychiatry | Norfolk Psychiactric Associates PC | 6353 Ctr Dr, Suite 204, Norfolk, VA 23502-0001 |
| Marc C De Solminihac | Psychiatry | Norfolk Psychiactric Associates PC | 6353 Ctr Dr, Suite 204, Norfolk, VA 23502-0001 |
| Find all physicians in zip 23502 | |||
| City | NORFOLK |
| Zip Code | 23502 |
| Specialty | NEUROLOGY |
| City + Specialty | NORFOLK + NEUROLOGY |
Please comment or provide details below to improve the information on Carmen R Fuentes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.