Onslow Health Associates PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ONSLOW HEALTH ASSOCIATES PLLC

Practice address

1201 Country Club Road
Jacksonville, NC 28546

Phone

(910) 347-7773

Fax

(910) 347-7792

NPI assigned

Nov 1, 2006

Last updated

Oct 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Douglas Taylor, MDNPI 1295893857

Title

Owner

Phone

(910) 340-7773

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Pediatric Urgent Care PLLC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanley Douglas Taylor, MD

  • Pediatrics Physician
  • Jacksonville, NC
  • NPI 1295893857
  NPD (past) Authorized official
• Katy Michelle Robertson, NP

  • Family Nurse Practitioner
  • Jacksonville, NC
  • NPI 1366967408
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1437236338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SARAH COURT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-347-7773",
            "fax_number": "910-347-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COUNTRY CLUB ROAD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-347-7773",
            "fax_number": "910-347-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW HEALTH ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-340-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "23340",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B6631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D16P8",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89106P8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Urgent Care PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Onslow Community Outreach
• Onslow County Partnership for Children (One Place)
• Onslow County Partnership for Children (One Place)
• Onslow County Schools
• Onslow Doctors Care Incorporated
• Onslow Medical Specialties Clinic, PC
• Onslow Memorial Hospital Inc (Onslow Memorial Hospital)
• Onslow Memorial Hospital, Inc.
• Onslow Memorial Hospital, Inc. (Hospital Pathology Group)
• Onslow Oncology Practice PC

• Pediatrics Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.