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

Last updated

Dec 18, 2023By the provider in NPPES

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, and the practitioner matching its NPPES authorized official.

• 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 (One Place)
• Onslow County Partnership for Children (One Place)
• Onslow County Schools
• Onslow Doctors Care Incorporated
• Onslow Health Associates PLLC
• Onslow Memorial Hospital Inc (Onslow Memorial Hospital)
• Onslow Memorial Hospital, Inc.
• Onslow Memorial Hospital, Inc. (Hospital Pathology Group)
• Onslow Oncology Practice PC
• Onslow Ophthalmology, PA (Office Park Eye Center)

• 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.