Provider Demographics
NPI:1861499493
Name:CARWILE, DONALD E (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:CARWILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 FENWICK DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 CAROLINA AVE
Practice Address - Street 2:
Practice Address - City:BROOKNEAL
Practice Address - State:VA
Practice Address - Zip Code:24528-2643
Practice Address - Country:US
Practice Address - Phone:434-376-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027306207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
48813OtherMEDCOST PROVIDER NUMBER
186378OtherANTHEM PROVIDER NUMBER
45094OtherSENTARA/OPTIMA PROVIDER N
70010622OtherCIGNA PROVIDER NUMBER
203639329014OtherTRICARE PROVIDER NUMBER
329094OtherSOUTHERN HEALTH PROVIDER
329094OtherSOUTHERN HEALTH PROVIDER
186378OtherANTHEM PROVIDER NUMBER
203639329014OtherTRICARE PROVIDER NUMBER