Active NPI
Apple Valley Family Medicine and Urgent Care
- Family Medicine Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25370
- Legal business name
- APPLE VALLEY FAMILY MEDICINE AND URGENT CARE
- Practice address
- 202 Foxcroft Ave
Martinsburg, WV 25401-5312 - Phone
- (240) 476-0791
- NPI assigned
- Nov 18, 2015
- Last updated
- Jan 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kolawale Adedeji Oshiyoye, MD
- Title
- Ceo
- Phone
- (240) 476-0791
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Family Medicine Physician | 207Q00000X | 25370 | WV | Primary |
Addresses
Primary practice location
202 Foxcroft Ave
Martinsburg, WV 25401-5312
Mailing address
202 Foxcroft Avenue
Martinsburg, WV 25401
Phone (240) 476-0791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427362383 | Other | WV | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2109283 | Apple Valley Family Medicine | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
7595 Martinsburg Pike
Shepherdstown, WV 25443
Phone (304) 907-2191
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urgent Care Clinic/Center
- Martinsburg, WV
- NPI 1427362383
Family Medicine
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1467616425
-
- Family Nurse Practitioner
- Martinsburg, WV
- NPI 1982909784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1558735209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 FOXCROFT AVENUE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "240-476-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 FOXCROFT AVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254015312",
"telephone_number": "240-476-0791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLE VALLEY FAMILY MEDICINE AND URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-18",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "OSHIYOYE",
"authorized_official_first_name": "KOLAWALE",
"authorized_official_middle_name": "ADEDEJI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-476-0791",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "25370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1427362383",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.