Onslow Medical Specialties Clinic, PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

ONSLOW MEDICAL SPECIALTIES CLINIC, PC

Practice address

123 Pompano Place
Suite 100
Jacksonville, NC 28546-5293

Phone

(910) 455-9398

Fax

(910) 455-5407

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eusebio C Desuyo, MDNPI 1992894604

Title

President/Ceo/Medical Director

Phone

(910) 467-9419

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/Kh3I89FnZzehL9RP43jjzXcrZ9CMElX0/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eusebio Chiong Desuyo, M.D.

  • Pulmonary Disease Physician
  • Bismarck, ND
  • NPI 1992894604

  NC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1982958195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 POMPANO PLACE",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465293",
            "telephone_number": "910-455-9398",
            "fax_number": "910-455-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 POMPANO PLACE",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465293",
            "telephone_number": "910-455-9398",
            "fax_number": "910-455-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW MEDICAL SPECIALTIES CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "DESUYO",
        "authorized_official_first_name": "EUSEBIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-467-9419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onslow County Partnership for Children
• Onslow County Partnership for Children
• Onslow County Schools
• Onslow Doctors Care Incorporated
• Onslow Health Associates PLLC
• Onslow Memorial Hospital Inc
• Onslow Memorial Hospital, Inc.
• Onslow Memorial Hospital, Inc.
• Onslow Oncology Practice PC
• Onslow Ophthalmology, PA

• Pulmonary Disease Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Pulmonary Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.

Verify at the official NPI Registry.