Charles Vaccaro Menendez Jr. (NPI# 1629008974, PAC ID# 4587745286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1629008974 |
| PAC ID by PECOS | 4587745286 |
| Professional Enrollment ID | I20110216000751 |
| Full Name | Charles Vaccaro Menendez Jr. |
| Organization Legal Name | SINGING RIVER RADIOLOGY GROUP, PA |
| Address |
1720 A Medical Park Dr Suite 110 Biloxi MS 39532-2122 |
| Phone Number | 2283921224 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6204847064 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250040 | SINGING RIVER HOSPITAL |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 250036 | GEORGE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2283921773 | SINGING RIVER RADIOLOGY GROUP, PA |
| 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 | 2283921224 | SINGING RIVER RADIOLOGY GROUP, PA |
| 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 | 2288181111 | SINGING RIVER RADIOLOGY GROUP, PA |
| 3535 Bienville Blvd, Ocean Springs, MS 39564-5705 | 2282171788 | SINGING RIVER RADIOLOGY GROUP, PA |
| 1365 Market St, Pascagoula, MS 39567-6604 | 6017621353 | SINGING RIVER RADIOLOGY GROUP, PA |
| 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2287621353 | SINGING RIVER RADIOLOGY GROUP, PA |
| 3101 Denny Ave, Suite 300, Pascagoula, MS 39581-5307 | 2284711410 | SINGING RIVER RADIOLOGY GROUP, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 97% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | SINGING RIVER RADIOLOGY GROUP, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul H Moore | Diagnostic Radiology | Singing River Radiology Group, Pa | 1365 Market St, Pascagoula, MS 39567-6698 |
| James Carter | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Roland J Mestayer | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Thurman N Polchow | Diagnostic Radiology | Singing River Radiology Group, Pa | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 |
| John A Banahan | Diagnostic Radiology | Singing River Radiology Group, Pa | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Street Address |
1720 A MEDICAL PARK DR SUITE 110 |
| City | BILOXI |
| State | MS |
| Zip | 39532-2122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew W Lewis | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 1720 A Medical Park Dr, Suite 220, Biloxi, MS 39532-2127 |
| Eva Magiros | Cardiovascular Disease (cardiology) | Coast Cardiovascular Consultants | 1720 A Medical Park Dr, Suite 150, Biloxi, MS 39532-2135 |
| Charles J Winters | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 1720 A Medical Park Dr, Suite 220, Biloxi, MS 39532-2127 |
| James Carter | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Alisha Helen Farrish | Physical Therapy | Bienville Orthopaedic Specialists, LLC | 1720 A Medical Park Dr, Suite 220, Biloxi, MS 39532-2127 |
| Roland J Mestayer | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| George M Thurber | Ophthalmology | Center for Eye Care Ltd | 1720 A Medical Park Dr, Suite 330, Biloxi, MS 39532-2127 |
| Bernard James Meadows | Podiatry | Bienville Orthopaedic Specialists, LLC | 1720 A Medical Park Dr, Suite 220, Biloxi, MS 39532-2127 |
| Hebe A Diaz | Obstetrics/gynecology | 1720 A Medical Park Dr, Suite 130c, Biloxi, MS 39532-2127 | |
| Deidra A Hertz | Nurse Practitioner | Sun Coast Pain Management, P.a. | 1720 A Medical Park Dr, Suite 310, Biloxi, MS 39532-2127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney K Ganey | Physical Therapy | 1990 Popps Ferry Rd, Biloxi, MS 39532-2015 | |
| Timothy J Murphy | Chiropractic | 1990 Popps Ferry Rd, Biloxi, MS 39532-2015 | |
| Andrew Crowley | Physical Therapy | North Bay Therapy LLC | 1990 Popps Ferry Rd, Biloxi, MS 39532-2015 |
| Terry C Smith | Neurosurgery | 1009 Tommy Munro Dr B, Biloxi, MS 39532-2100 | |
| Danielle Kusserow Bersabe | Internal Medicine | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 |
| Nicole Whitman | Nurse Practitioner | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 |
| Rachel Slocum | Nurse Practitioner | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Biloxi, MS 39532-2118 |
| Jillian M Ladner | Nurse Practitioner | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 |
| Rene Hood Cathey | Nurse Practitioner | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 |
| Rebecca A Rose | Family Medicine | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite B, Biloxi, MS 39532-2118 |
| Find all physicians in zip 39532 | |||
| City | BILOXI |
| Zip Code | 39532 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BILOXI + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Charles Vaccaro Menendez Jr..
| 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.