| Apple Valley Family Medicine And Urgent Care | |
|
202 Foxcroft Ave Martinsburg WV 25401-5312 | |
| (240) 476-0791 | |
| Not Available |
| Full Name | Apple Valley Family Medicine And Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Foxcroft Ave, Martinsburg, West Virginia |
| Authorized Official Name and Position | Kolawale Adedeji Oshiyoye (CEO) |
| Authorized Official Contact | 2404760791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Valley Family Medicine And Urgent Care 202 Foxcroft Avenue Martinsburg WV 25401 Ph: (240) 476-0791 | Apple Valley Family Medicine And Urgent Care 202 Foxcroft Ave Martinsburg WV 25401-5312 Ph: (240) 476-0791 |
| NPI Number | 1558735209 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 2769777085 |
|---|---|
| Medicare Enrollment ID | O20160825002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558735209 | NPI | - | NPPES |
| 1427362383 | Other | WV | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25370 (West Virginia) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Dena Yvonne Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982909784 PECOS PAC ID: 0840464707 Enrollment ID: I20111111000121 |
| Provider Name | Ngozi Nnennanya Ude Oshiyoye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467616425 PECOS PAC ID: 5294901534 Enrollment ID: I20130906000853 |
| Provider Name | Kolawale A Oshiyoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427362383 PECOS PAC ID: 4284883737 Enrollment ID: I20131028000996 |
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