Tofunmi Valerie Adesanya, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Salem, VA
NPI 1801537147 · NPPES record last updated Apr 1, 2022
Key facts
- NPI
- 1801537147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1900 Electric Rd
Salem, VA 24153-7474 - Phone
- (540) 776-4000
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241219004149 | VA | Order and Referring Only - Family Practice |
1557898129 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- tofunmi.adesanya@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1900 Electric Rd
Salem, VA 24153-7474
Mailing address
1900 Electric Rd
Salem, VA 24153-7474
Other providers in Salem, VA
- Gregory Scott Adams
- Mark Nathaniel Adams
- Iffat Fatima Adeel
- Kimberly Aderhold
- Sarah Aderholdt
- Greg Adiele
- Kimberly Layne Adkins
- Laurie M Adkins
- Michelle San Pedro Adkins
- William D. Adkins
All providers in Salem, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.