Tosha Vann, M.D.

Individual provider Active NPI Pediatrics Physician · Whiteman Afb, MO

NPI 1154766210 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1154766210
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
01077104A (IN)
Practice address
331 Sijen Ave
Whiteman Afb, MO 65305-1269
Phone
(660) 687-6050
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01077104AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients
Midwest Division-Oprmc LLC Past Accepting new patients
Sunflower Medical Group PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tvann54808@direct.metrohealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01077104A IN Yes

Addresses

Primary practice location

331 Sijen Ave
Whiteman Afb, MO 65305-1269

Mailing address

331 Sijen Ave
Whiteman Afb, MO 65305-1269
Phone (660) 687-6050

Other providers in Whiteman Afb, MO

All providers in Whiteman Afb, MO · Pediatrics Physician in Missouri

Sources for this page

Verify at the official NPI Registry.