Ambrose Sunday Okonkwo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9900633 Issued in NC

Practice address

2104 N Herritage St
Kinston, NC 28501-2222

Phone

(252) 522-3663

Fax

(252) 522-3660

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Virginia Commonwealth University, School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Kinston, NC, CCN 347124
• 3HC Home health agency, Goldsboro, NC, CCN 347104
• Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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

• Hope Physicians

  • Student Health Clinic/Center
  • Kinston, NC
  • NPI 1578764312
  Medicare reassignment NPD Authorized official
• Eastern Radiologists Inc

  • Diagnostic Radiology Physician
  • Greenville, NC
  • NPI 1215990171
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health and Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Goldsboro, NC
  • NPI 1558396622

  Home health agency

  Care Compare affiliation
• Home Health and Hospice Care, Inc.

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1750337366
  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414

  Hospital

  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Kinston, NC
  • NPI 1962446385
  Care Compare affiliation
• Tar Heel Health Care Services, LLC

  • Home Health Agency
  • Kinston, NC
  • NPI 1154358596
  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1720011950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012222",
            "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": "2104 N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012222",
            "telephone_number": "252-522-3663",
            "fax_number": "252-522-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "AMBROSE",
        "middle_name": "SUNDAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126AG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nova Inc
• Nova Inc.
• Nova-Inc
• Michelle Renee Nzuna, DO
• Tambetta Ojong, M.D.
• Jona April Olaviaga
• Sue C. Oldenburg, CRNA
• Open Arms Residential and Community Support Inc.
• Optimal Care Inc.
• Optimized Access,LLC

• Family Medicine Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.