MR. GLENN RAY CARWELL JR.


Address: 1200 First Colonial Rd Ste 100, Virginia Beach, VA 23454-2274
Phone: 7574817788

MR. GLENN RAY CARWELL JR. (NPI# 1396850210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396850210
Entity Type Individual
Full Name MR. GLENN RAY CARWELL JR.
Credential MD
Practice Address 1200 First Colonial Rd Ste 100
Virginia Beach
VA 23454-2274
Practice Telephone 7574817788
Practice Fax Number 7574811707
Mailing Telephone 7574817788
Mailing Fax Number 7574811707
Enumeration Date 2006-08-20
Last Update Date 2019-11-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0105X Surgery
Specialization: Surgery of the Hand
0101025726 VA Allopathic & Osteopathic Physicians
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
0101025726 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 261400 01
NC 7905293 05

Office Location

Street Address 1200 FIRST COLONIAL RD STE 100
City VIRGINIA BEACH
State VA
Zip Code 23454-2274

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356994263 Agape Consulting Behavioral Analyst 1216 Garth Court, Virginia Beach, VA 23454 2019-07-19
1831650266 Amelia Jo Crutsinger Physician Assistant 1644 Kepler Bnd, Virginia Beach, VA 23454 2019-03-28
1538639158 Bay Psychiatric II Inc Counselor 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 2018-11-26
1487151759 Akanksha Mohan Student in an Organized Health Care Education/Training Program 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 2018-04-12
1275038580 Food Lion, LLC Durable Medical Equipment & Medical Supplies 1615 General Booth Blvd, Virginia Beach, VA 23454 2018-03-28
1346783164 Tracy Chasse Occupational Therapy Assistant 1628 Old Donation Parkway, Virginia Beach, VA 23454 2016-11-28
1982066627 Jennifer Mitchell Speech-Language Pathologist 2101 Agecroft Rd., Virginia Beach, VA 23454 2016-03-22
1659730562 Rebecca Houvener Psychologist 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 2016-02-19
1932581741 Monica Jane Bailey Nurse Practitioner 2110 N Great Neck Rd, Virginia Beach, VA 23454 2015-06-29
1376930073 Ashley A Burkholder Family Medicine 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 2015-04-20
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134619166 Aesthetic Center for Plastic Surgery Surgery 6845 Elm St Ste 708, Mc Lean, VA 22101-3851 2018-05-15
1720504244 Dominion Surgical Specialists, LLC Surgery 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 2017-08-16
1215465646 Dominion Plastic Surgery LLC Surgery 2755 Hartland Rd Ste 204, Falls Church, VA 22043-3544 2017-05-30
1609018928 Nicholas R Galardi Surgery 300 Medical Pkwy Ste 316, Chesapeake, VA 23320-4985 2009-04-01
1285835488 Julia Stevenson Surgery 300 Medical Pkwy Ste 300, Chesapeake, VA 23320-4985 2007-05-29
1952516734 Richard Gordon Lewis Jr. Surgery 2331a Robious Station Cir, Midlothian, VA 23113-2124 2007-05-14
1184768939 Roanoke Plastic Surgery Plc Surgery 1118 First Street Sw, Roanoke, VA 24016-4702 2007-02-16
1851402515 Nadia P Blanchet Surgery 9210 Forest Hill Avenue, Suite B1, Richmond, VA 23235-6880 2006-08-31
1255449872 Magee-rosenblum Plastic Surgery, Inc Surgery 5818 Harbour View Blvd Ste 200, Suffolk, VA 23435-3315 2006-08-25
1235158189 Balvant Parashram Arora Surgery 1101 Sam Perry Blvd., Suite 121, Fredericksburg, VA 22401-4467 2006-07-19
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Competitor

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City VIRGINIA BEACH
Zip Code 23454

Improve Information

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Dataset Information

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.

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