Provider Demographics
NPI:1962452250
Name:CARNEY, DAVID E (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:CARNEY
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:PO BOX 780125
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0125
Mailing Address - Country:US
Mailing Address - Phone:804-922-4844
Mailing Address - Fax:
Practice Address - Street 1:1000 E BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1930
Practice Address - Country:US
Practice Address - Phone:804-858-3500
Practice Address - Fax:804-628-4501
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012870062086S0120X, 2086S0102X, 208600000X
GA0583992086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGPA748OtherGROUP ID SC MEDICAID
GAP00386142OtherRR MEDICARE
GA10067411OtherAMERIGROUP
GA52205984-001OtherBCBS
GACH5121OtherRR MEDICARE GROUP PIN
GA362713OtherWELLCARE
GA7703560OtherAETNA
GA944905479AMedicaid
GAGRP3905OtherMEDICARE GROUP PIN
GA00002425248 07OtherUNITED HEALTHCARE
GA9342322OtherMULTIPLAN/PHCS
SCG58399Medicaid
GA7703560OtherAETNA
GA10067411OtherAMERIGROUP
GAI09689Medicare UPIN