Organization Active NPI

Onslow Ambulatory Services, Inc

  • Pulmonary Disease Physician
  • Jacksonville, NC
National Provider Identifier
1669058038
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ONSLOW AMBULATORY SERVICES, INC
Doing business as
Onslow Pulmonary Associates
Practice address
237 Old White St
Suite 1
Jacksonville, NC 28546
Phone
(910) 577-4968
Fax
(910) 577-2916
NPI assigned
Mar 24, 2021
Organization subpart
Yes
Parent organization
ONSLOW AMBULATORY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Libby Scott
Title
Practice Director
Phone
(910) 577-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

237 Old White St
Suite 1
Jacksonville, NC 28546

Mailing address

237 Old White St
Jacksonville, NC 28546
Phone (910) 577-4968

Other names 1

  • Onslow Pulmonary Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address opa@direct.onslowmemorial.nchie.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Onslow Ambulatory SVCS2 organizations share this tax ID, including this one
Part of
Onslow Ambulatory SVCS

Other organizations with this tax ID 1

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

Locations

237 White St
Jacksonville, NC 28546
Phone (910) 353-1437

237 White St
Ste 1
Jacksonville, NC 28546
Phone (910) 577-4968

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1669058038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 OLD WHITE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-577-4968",
            "fax_number": "910-577-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 OLD WHITE ST",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-577-4968",
            "fax_number": "910-577-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW AMBULATORY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONSLOW AMBULATORY SERVICES, INC",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "910-577-2533"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "opa@direct.onslowmemorial.nchie.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "237 Old White St",
            "address_2": "Suite 1",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Onslow Pulmonary Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onslow Pulmonary Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.