Active NPI
Toritsetimiyin Marian E-Nunu, M.D., MPH
- Urology Physician
- Fort Cavazos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD-18334
- Practice address
- 590 Medical Center Rd
Surgery Dept, Urology Clinic
Fort Cavazos, TX 76544 - Phone
- (254) 288-8007
- Fax
- (254) 288-8875
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A141063 | CA | |
| Urology Physician | 208800000X | MD-18334 | HI | Primary |
Addresses
Primary practice location
590 Medical Center Rd
Surgery Dept, Urology Clinic
Fort Cavazos, TX 76544
Mailing address
590 Medical Center Rd
Surgery Dept, Urology Clinic
Fort Cavazos, TX 76544
Phone (254) 288-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Astera Health
Practice addresses (Care Compare)
4 Deerwood Ave NW
Wadena, MN 56482-1253
Phone (218) 631-1360
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495
415 Jefferson St N
Wadena, MN 56482-1296
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A141063 | CA | MD | Urology Physician |
| MD-18334 | HI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astera Health | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients |
Locations
421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
Interoperability endpoints
- tenunu756481@direct.centracare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Wadena, MN
- NPI 1134305162
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
-
- Critical Access Hospital
- Wadena, MN
- NPI 1881725224
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Killeen, TX
- NPI 1629089966
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1083027189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER RD",
"address_2": "SURGERY DEPT, UROLOGY CLINIC",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-8007",
"fax_number": "254-288-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER RD",
"address_2": "SURGERY DEPT, UROLOGY CLINIC",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-8007",
"fax_number": "254-288-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "E-NUNU",
"first_name": "TORITSETIMIYIN",
"middle_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2023-05-18",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A141063",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "HI",
"license": "MD-18334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.