Individual provider Active NPI

Ronald Jason Pope, D.O.

  • Surgery Physician
  • Farmington Hills, MI
National Provider Identifier
1689877821
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
82086 Issued in SC
Practice address
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone
(248) 471-8000
NPI assigned
Jun 6, 2007
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101017071 MI
Surgery Physician 208600000X 82086 SC Primary

Addresses

Primary practice location

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Mailing address

5841 Daughtridge Rd
Rocky Mount, NC 27803-8471
Phone (216) 849-0992

Other practice location 1

1690 Skylyn Dr Ste 350
Spartanburg, SC 29307-1039
Phone (864) 577-1600

Other identifiers 2

IdentifierTypeStateIssuer
NC3123MedicaidSC
SCK3377628OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpope228590@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721000026 NC Practitioner - General Surgery 8022201490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017071MIMDSurgery Physician
82086SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc Surgery CurrentSince Aug 1, 2017 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2017 Accepting new patients

Locations

205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

Interoperability endpoints

  • Direct secure messaging: rpope228590@direct-srhs.et0939.epichosted.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1689877821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 DAUGHTRIDGE RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038471",
            "telephone_number": "216-849-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "248-471-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Skylyn Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071039",
            "country_code": "US",
            "telephone_number": "864-577-1600",
            "fax_number": "864-577-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPE",
        "first_name": "RONALD",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-07-14",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101017071",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "82086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC3123",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK3377628",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpope228590@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rpope228590@direct-srhs.et0939.epichosted.com",
            "address_1": "1690 Skylyn Dr Ste 350",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293071039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.