Southeastern Medical Oncology Center

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

SOUTHEASTERN MEDICAL ONCOLOGY CENTER

Practice address

239 Station Street
Jacksonville, NC 28546

Phone

(910) 353-0819

Fax

(910) 353-0828

NPI assigned

Sep 4, 2012

Last updated

Jun 17, 2013By 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

Mrs. Teresa W Hoyt

Title

Business Manager

Phone

(919) 587-9040

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Southeastern Medical Oncology Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeastern Medical Oncology Center

  • Hematology & Oncology Physician
  • Clinton, NC
  • NPI 1225315666
  NPD tax ID

Locations

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1528317724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 STATION ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466304",
            "telephone_number": "910-353-0819",
            "fax_number": "910-353-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 STATION STREET",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-353-0819",
            "fax_number": "910-353-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MEDICAL ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-587-9040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2310707",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890252E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Sotelo
• Soundside Orthotics & Prosthetics, LLC (Evergreen Prosthetics and Orthotics)
• Southeastern Healthcare of Jacksonville
• Southeastern Healthcare of Jacksonville, PC
• Southeastern Home Health Care Group
• Mohana Raghunath Sowani, PT
• Sozo Health Pavilion, PA
• Elizabeth Spanburgh
• Sparks Chiropractic Services PA (Sparks Chiropractic)
• Clayton E Sparks, D.C.

• Hematology & Oncology Physician in Jacksonville, NC
• Providers in Jacksonville, 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 Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.