DR. OLASENI A SHOROYE (NPI# 1053376509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053376509 |
| Entity Type | Individual |
| Full Name | DR. OLASENI A SHOROYE |
| Credential | D.O |
| Practice Address |
16000 Johnston Memorial Dr Abingdon VA 24211-7659 |
| Mailing Address |
2201 Hempstead Tpke East Meadow NY 11554-1859 |
| Practice Telephone | 2762584050 |
| Practice Fax Number | 2762584056 |
| Mailing Telephone | 5165726131 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2017-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0102201653 | VA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 038737 | CT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 219348-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010133734 | 05 | |
| VA | RR MEDICARE | P01198012 | 01 |
| VA | 1053376509 | 05 | |
| TN | Q014694 | 05 |
| Street Address |
16000 JOHNSTON MEMORIAL DR |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075403 | Steven Douglas Sikora | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2005-07-07 |
| 1306461678 | Erik Richardson | Family Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-06-12 |
| 1528682523 | Trevor Chase Elswick | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-06-04 |
| 1477176543 | Martin Earl Cook | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-24 |
| 1689295230 | Steven T Cook | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-05 |
| 1073134862 | Kaleigh Erin Hale Almeida | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-03 |
| 1174154413 | Eric Anderson | Nurse Anesthetist, Certified Registered | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-01-27 |
| 1154972701 | Samantha Palmer | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-09-25 |
| 1700445608 | Ashwin Chandra | Family Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-06-13 |
| 1679133540 | Jerod William Bachman | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1558891101 | Katie Danielle Buckner | Family Medicine | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2017-06-15 |
| 1316359003 | Beth Morley | Nurse Practitioner | 15051 Harmony Hills Ln, Abingdon, VA 24211 | 2014-05-29 |
| Find all providers in zip 24211 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245522143 | Reuben E Abraham | Internal Medicine | 3401 Box Hill Corporate Center Dr Ste 100, Abingdon, MD 21009-1200 | 2011-05-10 |
| 1245425776 | James Harris Bowden Jr. | Internal Medicine | 200 Mountain View Dr Sw, Abingdon, VA 24211-3665 | 2007-09-07 |
| 1255453411 | Abingdon Physician Partners Dba Highlands Internal Medicine | Internal Medicine | 601 Campus Dr, Abingdon, VA 24210-9700 | 2007-04-06 |
| 1760510960 | Abingdon Physician Partners | Internal Medicine | 607 Campus Drive, Abingdon, VA 24210 | 2007-03-01 |
| 1053450296 | Med-peds Management LLC | Internal Medicine | 191 Johnson St Ne, Abingdon, VA 24210-2934 | 2007-02-05 |
| 1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
| 1992737944 | Abingdon Consultants, Inc | Internal Medicine | 351 Court Street,ne, Abingdon, VA 24210 | 2006-07-07 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1063409506 | Martin Monahan | Internal Medicine | 322 E Valley St, Abingdon, VA 24210 | 2005-09-30 |
| 1518954239 | Emily Debord | Internal Medicine | 322 East Valley St, Abingdon, VA 24210 | 2005-09-29 |
| Find all providers in ABINGDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.