Active NPI
Danny V. Cantwell, M.D.
- Surgery Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Practice address
- 860 Omni Blvd
Ste 204
Newport News, VA 23606-4430 - Phone
- (757) 874-1077
- Fax
- (757) 874-2393
- NPI assigned
- Jun 27, 2005
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | VA | Primary |
Addresses
Primary practice location
860 Omni Blvd
Ste 204
Newport News, VA 23606-4430
Mailing address
860 Omni Blvd
Suite 303
Newport News, VA 23606-4430
Phone (757) 232-8777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7304021 | Medicaid | VA | |
| 600212180 | Other | RAILROAD MEDICARE | |
| 250793 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Surgery | Current | Accepting new patients |
| Tidewater Physicians Multispecialty Group PC | Past | Accepting new patients |
Locations
2205 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 223-4992
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
827 Diligence Dr
Ste 100
Newport News, VA 23606
860 Omni Blvd
Ste 108
Newport News, VA 23606
Phone (757) 874-1077
860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
Surgery
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801892559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 OMNI BLVD",
"address_2": "SUITE 303",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064430",
"telephone_number": "757-232-8777",
"fax_number": "757-232-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 OMNI BLVD",
"address_2": "STE 204",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064430",
"telephone_number": "757-874-1077",
"fax_number": "757-874-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTWELL",
"first_name": "DANNY",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7304021",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "600212180",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "250793",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.