Provider Demographics
NPI:1982673380
Name:CARTER, ANTHONY THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:THOMAS
Last Name:CARTER
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 1:730 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4562
Mailing Address - Country:US
Mailing Address - Phone:757-873-1554
Mailing Address - Fax:757-873-3239
Practice Address - Street 1:730 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4562
Practice Address - Country:US
Practice Address - Phone:757-873-1554
Practice Address - Fax:757-873-3239
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051812207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA435127OtherSOUTHERN HEALTH SERVICES
VA541869550OtherPHCS
VA4321444OtherAETNA
VA541869550OtherVIRGINIA HEALTH NETWORK
VA64-0564-9Medicaid
VA0900780OtherUNITED HEALTHCARE
VA336141OtherMAMSI
VA332955OtherBLUE CROSS BLUE SHIELD OF VIRGINIA
VA54-1869550OtherTRICARE/CHAMPUS
VA65117OtherSENTARA HEALTH PLANS
VA021324OtherCIGNA
VA541869550OtherMULTIPLAN
VA435127OtherSOUTHERN HEALTH SERVICES
G09296Medicare UPIN
VA65117OtherSENTARA HEALTH PLANS