Active NPI
Antonio Miguel Carbonell, MD
- Plastic Surgery Physician
- Morehead City, NC
National Provider Identifier
1891869723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 27897
- Practice address
- 215 N 35TH St
Suite 1
Morehead City, NC 28557-3103 - Phone
- (252) 247-0094
- Fax
- (252) 247-9285
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 27897 | NC | Primary |
Addresses
Primary practice location
215 N 35TH St
Suite 1
Morehead City, NC 28557-3103
Mailing address
215 N 35TH St
Suite 1
Morehead City, NC 28557-3103
Phone (252) 247-0094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21097 | Other | NC | BCBS EDS IP NUMBER |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairlight Medical Center | Past | Accepting new patients | |
| Williston Radiology Consultants PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Williston, ND
- NPI 1811162811
-
dba Fairlight Medical Center
- Specialist
- Williston, ND
- NPI 1942375852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891869723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N 35TH ST",
"address_2": "SUITE 1",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573103",
"telephone_number": "252-247-0094",
"fax_number": "252-247-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N 35TH ST",
"address_2": "SUITE 1",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573103",
"telephone_number": "252-247-0094",
"fax_number": "252-247-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONELL",
"first_name": "ANTONIO",
"middle_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NC",
"license": "27897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EDS IP NUMBER",
"identifier": "21097",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.