Faith D Fuentes, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

FF054990 Issued in MI

Practice address

4011 Orchard Dr
Suite 4012
Midland, MI 48640-6190

Phone

(989) 839-2855

Fax

(989) 839-7296

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ffuentes10121@mymichiganhealth.midirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490
  Medicare reassignment NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD
• Mymichigan Medical Center Midland

  • Neuromusculoskeletal Medicine & OMM Physician
  • Midland, MI
  • NPI 1982731659
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619013646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 ORCHARD DR",
            "address_2": "SUITE 4012",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406190",
            "telephone_number": "989-839-2855",
            "fax_number": "989-839-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ORCHARD DR",
            "address_2": "SUITE 4012",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406190",
            "telephone_number": "989-839-2855",
            "fax_number": "989-839-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "FAITH",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "FF054990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhea M Fritz
• Sarah Mae Fritz
• Kylie Frontjes
• James H Frye, MD
• Brette Nicole Fryfogle, FNP-BC
• FWC Acu LLC
• Kay L Gable, DDS
• Donnie Gaddis
• Adam Gaetz
• Juan Gagne

• Neurology Physician in Midland, MI
• Providers in Midland, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.