Physician Compare National (NPI:1972699189)

HEALTHCARE PROVIDER: MARTIN JOSEPH CARNEY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972699189
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810167178
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110825000001
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARNEY
	Individual professional last name
Provider First Name	MARTIN
	Individual professional first name
Provider Middle Name	JOSEPH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1868 WILDWOOD DR
	Group Practice or individual's line 1 address
City	VIRGINIA BEACH
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	234543124
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7574814455
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA VIRGINIA BEACH GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y