Outer Banks Hematology Oncology PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

OUTER BANKS HEMATOLOGY ONCOLOGY PA

Practice address

4810 S Croatan Hwy
Suite 120
Nags Head, NC 27959-8508

Phone

(252) 480-4699

Fax

(252) 480-3280

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose M Acostamadiedo, M.D.NPI 1013910256

Title

President

Phone

(252) 480-4699

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Maria Acostamadiedo, MD

  • Hematology & Oncology Physician
  • Plattsburgh, NY
  • NPI 1013910256
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1437102829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2288",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279542288",
            "telephone_number": "252-480-4699",
            "fax_number": "252-480-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 S CROATAN HWY",
            "address_2": "SUITE 120",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598508",
            "telephone_number": "252-480-4699",
            "fax_number": "252-480-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER BANKS HEMATOLOGY ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "ACOSTAMADIEDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-480-4699",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE2252",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126U6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Outer Bank Hospital Inc
• Outer Banks Acupuncture, PLLC
• Outer Banks Dermatology
• Outer Banks Family Medicine, PLLC
• Outer Banks Haven, Inc.
• Outer Banks Hospital
• Outer Banks Inner Journey
• Outer Banks Medical Services Inc
• Outer Banks Professional Services, LLC
• Outer Banks Professional Services, LLC

• Hematology & Oncology Physician in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.