Veterans Affairs Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

MD009732E Issued in PA

Legal business name

VETERANS AFFAIRS MEDICAL CENTER

Practice address

2946 Kings Gate Blvd
Beavercreek, OH 45431-3900

Phone

(937) 320-1890

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Adetola Adebonojo, M.D.

Title

Chief, Surgical Services

Phone

(937) 262-5965

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164509477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 KINGS GATE BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313900",
            "telephone_number": "937-320-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 KINGS GATE BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313900",
            "telephone_number": "937-320-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADEBONOJO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ADETOLA",
        "authorized_official_title_or_position": "CHIEF, SURGICAL SERVICES",
        "authorized_official_telephone_number": "937-262-5965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "MD009732E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Renee Vantrease, MD
• Ralph Vatner, M.D., PH.D.
• Emily J Vaught
• Jessica Vencill
• Christina Veness
• Yoaira Victor-Suarez
• Victorian Health LLC
• Justin Vinson, D.C.
• Nicole Viola
• Vision Service Corporation

• General Acute Care Hospital in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.