Organization Active NPI

Hope Physicians

  • Student Health Clinic/Center
  • Kinston, NC
National Provider Identifier
1578764312
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
9900633 Issued in NC
Legal business name
HOPE PHYSICIANS
Practice address
2502 N Herritage Street
Suite a
Kinston, NC 28501-3567
Phone
(252) 522-3663
Fax
(252) 522-3660
NPI assigned
May 30, 2007
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Ambrose Sunday Okonkwo, M.D.NPI 1720011950
Title
President, Ceo
Phone
(252) 522-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 9900633 NC Primary

Addresses

Primary practice location

2502 N Herritage Street
Suite a
Kinston, NC 28501-3567

Mailing address

2502 N Herritage Street
Suite a
Kinston, NC 28501-3567
Phone (252) 522-3663

Other identifiers 1

IdentifierTypeStateIssuer
89126AGMedicaidNC

Other names 1

  • HOPE PHYSICIANS AND URGENT CARE Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071005000513 NC Part B Supplier - Clinic/Group Practice 9335234343 Receives reassigned benefits from 2 practitioners
Practice locations: Kinston, NC; Ayden, NC

National Provider Directory

National Provider Directory

Locations

2502 N Herritage St
Ste A
Kinston, NC 28501
Phone (252) 522-3660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIBD

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1578764312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N HERRITAGE STREET",
            "address_2": "SUITE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013567",
            "telephone_number": "252-522-3663",
            "fax_number": "252-522-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N HERRITAGE STREET",
            "address_2": "SUITE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013567",
            "telephone_number": "252-522-3663",
            "fax_number": "252-522-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_middle_name": "SUNDAY",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "252-522-3663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NC",
            "license": "9900633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126AG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE PHYSICIANS AND URGENT CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.