Onslow Urology Clinic

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

26107 Issued in NC

Legal business name

ONSLOW UROLOGY CLINIC

Practice address

200 Doctors Drive
Suite C
Jacksonville, NC 28546-6308

Phone

(910) 353-9994

Fax

(919) 353-5784

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By 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

Mr. Ronald Mack Hammock, MDNPI 1265593693

Title

MD

Phone

(910) 353-9994

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Ronald Mack Hammock, MD

  • Urology Physician
  • Jacksonville, NC
  • NPI 1265593693
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588718969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DRIVE",
            "address_2": "SUITE C",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "910-353-9994",
            "fax_number": "919-353-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DRIVE",
            "address_2": "SUITE C",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "910-353-9994",
            "fax_number": "919-353-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW UROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOCK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "910-353-9994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "26107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02344",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902344",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onslow Sleep Clinic, LLC
• Onslow Spine & Rehabilitation Center, PA
• Onslow Surgical Clinic PA
• Onslow United Transit System, Inc.
• Onslow Urgent Care
• Open Door MGMT Agency of Jacksonville
• Open Water Medical, PA
• Open Water Wellness PLLC
• Alicia Orlopp, LPC
• James Ryan Orr

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.