Provider Demographics
NPI:1861472862
Name:ADAMS, TONYA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:TONYA
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:TONYA
Other - Middle Name:LYNN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3700 JOSEPH SIEWICK DR STE 308
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1739
Mailing Address - Country:US
Mailing Address - Phone:703-698-8960
Mailing Address - Fax:703-716-8703
Practice Address - Street 1:3028 JAVIER RD STE 500
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-698-8960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231069207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
460216OtherANTHEM BCBS
341907OtherANTHEM BCBS
178746OtherANTHEM BCBS
VA5874572Medicaid
VA110239383OtherRAILROAD MEDICARE
187602OtherANTHEM BCBS
460215OtherANTHEM BCBS
460217OtherANTHEM BCBS
79160015OtherCAREFIRST BCBS
187602OtherANTHEM BCBS
460216OtherANTHEM BCBS