Carolyn Smith Burwell, MD
Individual provider Active NPI Pediatrics Physician · Norfolk, VA
NPI 1205968666 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205968666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0101030380 (VA)
- Practice address
- 830 Southampton Avenue
Norfolk Dept of Public Health
Norfolk, VA 23510 - Phone
- (757) 683-8770
- Fax
- (757) 683-9211
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth of Virginia State Board of Health
Practice addresses (Care Compare)
830 Southampton Ave
Suite 200
Norfolk, VA 23510-1045
Phone (757) 683-2807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110516000000 | VA | Practitioner - Pediatric Medicine | 8729264452 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Virginia State Board of Health | Current |
Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Current |
Accepting new patients | |
| Norfolk Department of Public Health | Past | Accepting new patients |
Locations
830 Southampton Ave
Ste 200
Norfolk, VA 23510
Phone (757) 683-2796
830 Southampton Ave
Norfolk, VA 23510
Phone (757) 683-2796
109 Governor St
Fl 13
Richmond, VA 23219
Phone (804) 864-7009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101030380 | VA | Yes |
Addresses
Primary practice location
830 Southampton Avenue
Norfolk Dept of Public Health
Norfolk, VA 23510
Mailing address
33266 Edgehill Drive
Franklin, VA 23851
Phone (757) 569-8249
Other providers in Norfolk, VA
- Burton Station LLC
- Daveyon Burton
- Jerry N Burton
- Myra Payne Burton
- Tanya Nicole Burton
- Melissa Buryk
- Shannon Michelle Bush
- Thierry Bustani
- Busy Bee Transportation
- Shawn T. Butela
All providers in Norfolk, VA · Pediatrics Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.