MS. FAITH D FUENTES (NPI# 1619013646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619013646 |
Entity Type | Individual |
Full Name | MS. FAITH D FUENTES |
Credential | M.D. |
Practice Address |
4011 Orchard Dr Suite 4012 Midland MI 48640-6190 |
Practice Telephone | 9898392855 |
Practice Fax Number | 9898397296 |
Mailing Telephone | 9898392855 |
Mailing Fax Number | 9898397296 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
FF054990 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2573630 | 05 |
Street Address |
4011 ORCHARD DR SUITE 4012 |
City | MIDLAND |
State | MI |
Zip Code | 48640-6190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104811405 | East Central Oncology Associates | Internal Medicine | 4011 Orchard Dr, Suite 1000, Midland, MI 48640-6190 | 2005-09-13 |
1376887471 | Angela Zaucha | Nurse Practitioner | 4011 Orchard Dr, Suite 1002, Midland, MI 48640-6190 | 2012-11-15 |
1437477619 | Nps Associates, LLC | Clinic/Center | 4011 Orchard Dr, Ste. 3008, Midland, MI 48640-6190 | 2010-05-12 |
1750575817 | Brian R Copeland Md PC | Specialist | 4011 Orchard Dr, Suite 4004, Midland, MI 48640-6190 | 2007-08-31 |
1053491951 | The Apothecary Shoppe Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 4011 Orchard Dr, Suite 1004, Midland, MI 48670-0001 | 2006-10-16 |
1386694768 | Midmichigan Physicians Group | Surgery | 4011 Orchard Dr, Midland, MI 48640-6190 | 2006-05-10 |
1821089210 | William S Cline | Internal Medicine | 4011 Orchard Dr, Suite 3008, Midland, MI 48640-6190 | 2005-11-03 |
1689663510 | Ellsworth Emil Ludwig | Surgery | 4011 Orchard Dr, Suite 2000, Midland, MI 48640-6190 | 2005-10-13 |
1033108998 | Mark Douglas Horness | Surgery | 4011 Orchard Dr, Suite 2000, Midland, MI 48640-6190 | 2005-10-13 |
1073508255 | East Central Oncology Associates Plc | Internal Medicine | 4011 Orchard Dr, Ste 1000, Midland, MI 48640-6190 | 2005-09-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
Find all providers in zip 48640 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518003334 | Advanced Neuroscience Clinic, Pa | Psychiatry & Neurology | 702 Andrews Hwy, Midland, TX 79701-5658 | 2007-01-29 |
1316099153 | Rickey J Reynolds | Psychiatry & Neurology | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2007-01-18 |
1891857934 | Kamal Sadjadpour | Psychiatry & Neurology | 555 W Wackerly St, Suite 3625, Midland, MI 48640-4722 | 2006-12-14 |
1487679569 | Meihui Ma | Psychiatry & Neurology | 4201 Campus Ridge Drive, Midland, MI 48640 | 2006-07-12 |
1679568380 | John Wood Foster Jr. | Psychiatry & Neurology | 400 Rosalind Redfern Grover Pkwy, Ste 261, Midland, TX 79701-5846 | 2005-09-19 |
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1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
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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.