Charles Scott McEnroe, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

0101043739 Issued in VA

Practice address

3300 South BLDG
397 Little Neck Rd Ste 100
VA Beach, VA 23452

Phone

(757) 470-5570

Fax

(757) 227-3377

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

Locations

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.

• Vascular Access Services PLLC

  • Vascular Surgery Physician
  • Virginia Beach, VA
  • NPI 1548217243

  VA, Vascular Surgery

  Medicare reassignment NPD
• Sentara Medical Group

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
  • NPI 1053350322
  NPD
• Mandell Retina Center PC

  • Retina Specialist (Ophthalmology) Physician
  • Virginia Beach, VA
  • NPI 1861525305
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1255303293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD, 3300 SOUTH BLDG",
            "address_2": "SUITE 100",
            "city": "VIGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-470-5570",
            "fax_number": "757-227-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SOUTH BLDG",
            "address_2": "397 LITTLE NECK RD STE 100",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-470-5570",
            "fax_number": "757-227-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENROE",
        "first_name": "CHARLES",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101043739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020033755",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007358105",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Duncan Martinez, FNP
• Mawussi Komi
• Karen McCleu-Jackson, MS, SCHOOL PSYCHOLOG
• Natalie McCorey, LPC
• Jacob McCrowell, DPT, CMTPT
• Laura Speas McFarland, PT
• Megan K Mikovits, DPT
• Jennifer U Miles-Thomas, M.D.
• Sharita Miller
• Quayshaun Moore

• All providers in VA Beach, VA
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.