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Contact Information

JOHN A ADENIYI, M.D., F.A.C.S.
527 MEDICAL PARK DR STE 501
BRIDGEPORT, WV26330
 Phone: 304-842-3993
 Fax: 304-842-4083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for JOHN A ADENIYI · (Male)

NPI # 1306920756
Status Active
Credentials M.D., F.A.C.S.
Entity Individual
Enumeration date 10/24/2006
Last updated 04/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WV License # WV21293
  • WV Medicaid 3810000654
  • WV Other 001719007 BCBS
  • WV Other P00093109 RR MC
Hospital affiliation(s)
  • BRAXTON COUNTY MEMORIAL HOSPITAL - (Critical Access)
    100 HOYLMAN DRIVE
    GASSAWAY, WV 26624
  • UNITED HOSPITAL CENTER - (Acute Care)
    327 MEDICAL PARK DRIVE
    BRIDGEPORT, WV 26330
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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