Trent Douglas Martin (NPI# 1194703728, PAC ID# 9032299763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| 490046 | SENTARA LEIGH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170 | 7574641644 | GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC |
| 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 Legal Name | GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC |
| Physicians | 53 |
| 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 |
| Street Address |
1925 GLENN MITCHELL DR SUITE 102 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23456-0170 |
| 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 | |||
| 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 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | VIRGINIA BEACH + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Trent Douglas Martin.
| 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.