DR. YETUNDE ADEOLA ADESANYA M.D NPI 1689834269

NPI Information

NPI: 1689834269
Provider Name: DR. YETUNDE ADEOLA ADESANYA, M.D
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3115 BORDEAUX PARK DR
FAYETTEVILLE, NC
ZIP 28306
Phone: (910) 307-7337
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DR. Yetunde Adeola Adesanya, M.D is a pediatrics in Fayetteville, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Yetunde Adeola Adesanya, M.D NPI is 1689834269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3115 BORDEAUX PARK DR
FAYETTEVILLE, NC
ZIP 28306-894
Phone: (910) 307-7337
Fax: (910) 323-4620

The enumeration date for this NPI number is 6/17/2008 and was last updated on 6/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2008-00941	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12735847	OTHER	NORTH CAROLINA	PHCS-MULTIPLAN
2	1689834269	OTHER	NORTH CAROLINA	HEALTHNET FEDERAL SERVICES
3	1045067	OTHER	NORTH CAROLINA	WELLPATH
4	1045067	OTHER	NORTH CAROLINA	COVENTRY OF THE CAROLINAS
5	4101857	OTHER	NORTH CAROLINA	CIGNA GREATWEST
6	9297402	OTHER	NORTH CAROLINA	AETNA
7	3038401	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
8	1689834269	OTHER	NORTH CAROLINA	HEALTHSMART
9	1603J	OTHER	NORTH CAROLINA	BCBS OF NC
10	4015906	OTHER	NORTH CAROLINA	COVENTRY NATIONAL - COVENTRY PPO
11	1689834269	OTHER	NORTH CAROLINA	DOCTORS DIRECT
12	217771	OTHER	NORTH CAROLINA	MEDCOST, LLC
13	1689834269	MEDICAID	NORTH CAROLINA
14	1689834269	OTHER	NORTH CAROLINA	HUMANA
15	FH1101555	OTHER	NORTH CAROLINA	FIRST CAROLINA CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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