Active NPI
Shirley D Ocloo, M.D.
- Family Medicine Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95-00168
- Practice address
- 2721 X Ray Dr
Gastonia, NC 28054-7491 - Phone
- (704) 874-2255
- Fax
- (704) 810-7417
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95-00168 | NC | Primary |
Addresses
Primary practice location
2721 X Ray Dr
Gastonia, NC 28054-7491
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8963720 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100909000873 | NC | Practitioner - Family Practice | 7911022207 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gaston Family Health Services Inc
Practice addresses (Care Compare)
991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079
Hospital & facility affiliations
- Caromont Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-00168 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients |
Locations (25 of 30)
119 W Pennsylvania Ave
Bessemer City, NC 28016
Phone (704) 629-3465
3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324
1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416
620 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 285-0241
111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079
890 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 853-5000
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
2721 X Ray Dr
Gastonia, NC 28054
Phone (704) 853-5079
409 S Oakland St
Gastonia, NC 28052
609 N Highland St
Gastonia, NC 28052
Phone (704) 772-4700
3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196
133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544
915 Tate Blvd SE
Hickory, NC 28602
Phone (828) 345-0800
2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112
1501 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-4140
502 W King St
Kings Mtn, NC 28086
Phone (704) 730-8461
420 N Salisbury St
Lexington, NC 27292
Phone (336) 243-7475
212 Gamble Dr
Lincolnton, NC 28092
Phone (704) 735-7145
137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446
172 S Clement St
Mocksville, NC 27028
Phone (336) 477-2251
1019 N Lafayette St
Shelby, NC 28150
Phone (704) 482-8282
305 W College Ave
Shelby, NC 28152
Phone (704) 434-2598
318 Turnersburg Hwy
Statesville, NC 28625
Phone (704) 872-8916
1703 Davie Ave
Statesville, NC 28677
Phone (704) 818-9191
Interoperability endpoints
- socloo249217@direct.ochin.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
NC
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
-
- Federally Qualified Health Center (FQHC)
- Newton, NC
- NPI 1578043113
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1366448342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547491",
"telephone_number": "704-874-2255",
"fax_number": "704-810-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCLOO",
"first_name": "SHIRLEY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "95-00168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8963720",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.