Trent Douglas Martin
GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC


Address: 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Phone: 7574641644

Trent Douglas Martin (NPI# 1194703728, PAC ID# 9032299763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1194703728
PAC ID by PECOS 9032299763
Professional Enrollment ID I20110215000651
Full Name Trent Douglas Martin
Organization Legal Name GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC
Address 1925 Glenn Mitchell Dr
Suite 102
Virginia Beach
VA 23456-0170
Phone Number 7574641644
Gender M
Graduation Year 1983
Primary Specialty GASTROENTEROLOGY
Group Practice PAC ID 7719886266
Number of Group Practice Members 63
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490119 SENTARA PRINCESS ANNE HOSPITAL
490057 SENTARA VIRGINIA BEACH GENERAL HOSPITAL
490046 SENTARA LEIGH HOSPITAL

Other Locations

Address Phone Organization
1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170 7574641644 GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_113_overall Colorectal Cancer Screening 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_320_overall Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients 98%
QCDR_EC_GIQIC12_overall Appropriate indication for colonoscopy 95%

Organization Information

Organization Legal Name GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC
Physicians 53

Physicians with the same organization

Name Specialty Organization Address
Xiaoping Yang Anesthesiology Gastrointestinal and Liver Specialists of Tidewater Pllc 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435-2657
Jeannie H Cole Physician Assistant Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Harish Iyer Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 3640 High St, 2g, Portsmouth, VA 23707-3213
Ravi G Chhatrala Internal Medicine Gastrointestinal and Liver Specialists of Tidewater Pllc 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-4390
Suhas Lashpatrao Deshmukh Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Patricia L Raymond Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Maribel K Abenir Certified Registered Nurse Anesthetist (crna) Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Michael P Markowitz Anesthesiology Gastrointestinal and Liver Specialists of Tidewater Pllc 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-4390
John M Lawson Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 3640 High St, 2g, Portsmouth, VA 23707-3213
Kelvin Hornbuckle Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800

Office Location

Street Address 1925 GLENN MITCHELL DR
SUITE 102
City VIRGINIA BEACH
State VA
Zip 23456-0170

Physicians in the same location

Name Specialty Organization Address
Biswa R Bhattacharyya Family Medicine Sentara Medical Group 1925 Glenn Mitchell Dr, Suite 202, Virginia Beach, VA 23456-0177
Jeannie H Cole Physician Assistant Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Suhas Lashpatrao Deshmukh Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Patricia L Raymond Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Maribel K Abenir Certified Registered Nurse Anesthetist (crna) Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Richard M Curulla Internal Medicine Sentara Medical Group 1925 Glenn Mitchell Dr, Suite 202, Virginia Beach, VA 23456-0177
Ashan Manohar Gastroenterology Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Cynthia A Brownell Nurse Practitioner Gastrointestinal and Liver Specialists of Tidewater Pllc 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170
Jennifer C Wheaton Endocrinology Sentara Medical Group 1925 Glenn Mitchell Dr, Suite 202, Virginia Beach, VA 23456-0177
Yiling P Liu Internal Medicine Bayview Physician Services PC 1925 Glenn Mitchell Dr, Suite 100, Virginia Beach, VA 23456-0170
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Chandra T Hall Nurse Practitioner Sentara Medical Group 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019
Nayeem Karim Neurology Sentara Medical Group 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019
Kimberly S Sparks Qualified Audiologist Sentara Medical Group 1950 Glenn Mitchell Dr, 310a, Virginia Beach, VA 23456-0019
Christine H Gow Psychologist, Clinical Sentara Medical Group 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019
Melissa P Hunter Psychologist, Clinical Sentara Medical Group 1950 Glenn Mitchell Dr, Virginia Beach, VA 23456-0019
Ashley Martin Physician Assistant Virginia Oncology Associates 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019
Mark S Sinesi Radiation Oncology Virginia Oncology Associates 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019
Mark E. Shaves Radiation Oncology Virginia Oncology Associates 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019
Gunadhar Panigrahi Cardiovascular Disease (cardiology) Sentara Medical Group 2075 Glenn Mitchell Dr, Suite 512a, Virginia Beach, VA 23456-0019
Laura A. Jackson Nurse Practitioner Sentara Medical Group 1950 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0019
Find all physicians in zip 23456

Competitor

Search similar physicians

City VIRGINIA BEACH
Zip Code 23456
Specialty GASTROENTEROLOGY
City + Specialty VIRGINIA BEACH + GASTROENTEROLOGY

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Dataset Information

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.

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