Glenn Ray Carwell Jr., MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

0101025726 Issued in VA

Practice address

1200 First Colonial Rd Ste 100
Virginia Beach, VA 23454-2274

Phone

(757) 481-7788

Fax

(757) 481-1707

NPI assigned

Aug 20, 2006

Last updated

Nov 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

• Coastal Plastic Surgery LTD

  • Plastic and Reconstructive Surgery Physician
  • Virginia Beach, VA
  • NPI 1215242755
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1396850210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FIRST COLONIAL RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542274",
            "telephone_number": "757-481-7788",
            "fax_number": "757-481-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FIRST COLONIAL RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542274",
            "telephone_number": "757-481-7788",
            "fax_number": "757-481-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARWELL",
        "first_name": "GLENN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "VA",
            "license": "0101025726",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101025726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "261400",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7905293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catharine White Cartwright, PA-C
• Kristi M Cartwright, N.P.
• Jordan Elizabeth Caruana, LPC
• Lisa Carulli, STFA
• Amber Carver, LPC
• Cary L Savage Jr DDS PC (Pembroke Family Dental Care)
• Erica Casarez
• Erin Colleen Case, LCSW
• Peyton Case
• Myra Cash

• Plastic and Reconstructive Surgery Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Plastic and Reconstructive Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.