Active NPI
Onslow Ambulatory Services, Inc
- Orthopaedic Surgery Physician
- Jacksonville, NC
National Provider Identifier
1891930376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 200200995
- Legal business name
- ONSLOW AMBULATORY SERVICES, INC
- Doing business as
- Eastern Carolina Orthopaedic Clinic
- Practice address
- 31 Office Park Dr
Jacksonville, NC 28546-3219 - Phone
- (910) 353-2319
- Fax
- (910) 353-6870
- NPI assigned
- Dec 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Penney Burlingame
- Title
- Vice President
- Phone
- (910) 577-2605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 200200995 | NC | Primary |
Addresses
Primary practice location
31 Office Park Dr
Jacksonville, NC 28546-3219
Mailing address
241 New River Dr
Jacksonville, NC 28540-5928
Phone (910) 577-2605
Other names 1
- Eastern Carolina Orthopaedic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071208000028 | NC | Part B Supplier - Clinic/Group Practice | 4587569256 |
Receives reassigned benefits from 21 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jacksonville, NC |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Primary Care Clinic/Center
- Jacksonville, NC
- NPI 1063505949
O20071208000028
-
- Dermatology Physician
- Jacksonville, NC
- NPI 1033306279
O20071208000028
-
- Pulmonary Disease Physician
- Jacksonville, NC
- NPI 1518207216
O20071208000028
-
- Otolaryngology Physician
- Jacksonville, NC
- NPI 1740562875
O20071208000028
National Provider Directory
National Provider DirectoryLocations
31 Office Park Dr
Jacksonville, NC 28546
Phone (910) 219-1713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238976000000",
"number": "1891930376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 NEW RIVER DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405928",
"telephone_number": "910-577-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 OFFICE PARK DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285463219",
"telephone_number": "910-353-2319",
"fax_number": "910-353-6870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONSLOW AMBULATORY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-11",
"last_updated": "2009-04-06",
"status": "A",
"authorized_official_last_name": "BURLINGAME",
"authorized_official_first_name": "PENNEY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "910-577-2605"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "200200995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastern Carolina Orthopaedic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, NC
- Jenna Leigh Onofrio, RN
- Onslow Ambulatory Services, Inc
- Onslow Ambulatory Services, Inc
- Onslow Ambulatory Services, Inc
- Onslow Ambulatory Services, Inc
- Onslow Ambulatory Services, Inc.
- Onslow Ambulatory Services, Inc.
- Onslow Ambulatory Services, Inc.
- Onslow Ambulatory Services, Inc.
- Onslow Ambulatory Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.