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NPI Code Detail

MEDICARE: JOHN W CARMODY M.D.

MEDICARE: JOHN W CARMODY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician0101233327VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982677415
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN W CARMODY M.D.
Provider Business Mailing Address
First Line : 1204 FENWICK DR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-2112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1613 OAKWOOD ST
Second Line : SUITE 101
City : BEDFORD
State : VA
Zip : 24523-1213
Country : US
Telephone Number : 434-485-8500
Fax Number : 434-485-8599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 12/12/2012

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