Adedamola Adetola Falokun, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD469330 Issued in PA

Practice address

96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201

Phone

(717) 812-2400

Fax

(717) 812-3005

NPI assigned

Jun 5, 2008

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Adedamola Adetola Adegbenro Former name

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• U N I Medical Care Inc

  • Urgent Care Clinic/Center
  • Westminster, MD
  • NPI 1790962371
  Medicare reassignment NPD
• Wellspan Medical Group

  dba Wellspan Internal Medicine - Red Lion

  • Internal Medicine Physician
  • Red Lion, PA
  • NPI 1093882144
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD
• MNR Industries, LLC

  dba ExpressCare of Bel Air

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1457478703
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• MNR Industries,LLC

  dba ExpressCare of Loch Raven

  • Urgent Care Clinic/Center
  • Towson, MD
  • NPI 1598118168
  NPD

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1295994242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-2400",
            "fax_number": "717-812-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SOFIA DR STE 208",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173615201",
            "telephone_number": "717-812-2400",
            "fax_number": "717-812-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8105 Ritchie Hwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211223905",
            "country_code": "US",
            "telephone_number": "443-573-0564",
            "fax_number": "443-573-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALOKUN",
        "first_name": "ADEDAMOLA",
        "middle_name": "ADETOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116022246",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0070061",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD469330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEDAMOLA",
            "last_name": "ADEGBENRO",
            "middle_name": "ADETOLA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammy Lynn Daniluck, P.T.
• Dr Scott D Williams LLC (Chiropractic Health Center of Shrewsbury)
• Jeffrey Duttera
• Holly Jill Eaton, PT
• Shannon Erny
• Family Home Medical Supply Inc
• Candace Katelynn Fazenbaker, CRNP-FNP
• David J Feuz
• Lawrence Andrew Filak Jr., O.D.
• Christine Forry, ABOC

• Family Medicine Physician in Shrewsbury, PA
• Providers in Shrewsbury, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.