ONSLOW AMBULATORY SERVICES, INC. (NPI# 1558776997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558776997 |
| Entity Type | Organization |
| Organization Name | ONSLOW AMBULATORY SERVICES, INC. |
| Other Organization Name | ONSLOW SURGICAL CLINIC |
| Practice Address |
255 Memorial Dr Jacksonville NC 28546-6333 |
| Practice Telephone | 9103537848 |
| Practice Fax Number | 9103535052 |
| Mailing Telephone | 9103537848 |
| Mailing Fax Number | 9103535052 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | DR. LLEWELLYN E. PIPER (PRESIDENT & CEO) |
| Authorized Official Telephone | 9105774767 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Onslow Surgical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356692065 | Onslow Ambulatory Services, Inc. | Urology | 52 Office Park Dr, Suite B, Jacksonville, NC 28546-3217 | 2012-09-21 |
| 1740562875 | Onslow Ambulatory Services, Inc. | Otolaryngology | 55 Office Park Dr, Jacksonville, NC 28546-7327 | 2011-09-14 |
| 1518207216 | Onslow Ambulatory Services, Inc. | Internal Medicine | 237 White St, Suite 1, Jacksonville, NC 28546-6351 | 2013-02-18 |
| 1033306279 | Onslow Ambulatory Services, Inc. | Dermatology | 215b Station St, Jacksonville, NC 28546-6304 | 2007-10-02 |
| Street Address |
255 MEMORIAL DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770529448 | Lennox George Williams | Surgery | 255 Memorial Dr, Onslow Surgical Clinic Pa, Jacksonville, NC 28546-6333 | 2006-06-21 |
| 1134579584 | Ashley Grogan Bacheller | Physician Assistant | 255 Memorial Dr, Jacksonville, NC 28546-6333 | 2016-06-16 |
| 1508022740 | Mohummed Radwan Khani | Surgery | 255 Memorial Dr, Jacksonville, NC 28546-6333 | 2008-08-06 |
| 1487758785 | Onslow Surgical Clinic Pa | Surgery | 255 Memorial Dr, Jacksonville, NC 28546 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1922577626 | Grettel Wentling | Surgery | 7915 Turnstone Cir E, Jacksonville, FL 32256-2358 | 2018-11-26 |
| 1083030977 | Min Li Xu | Surgery | 2 Shircliff Way Ste 500, Jacksonville, FL 32204-4763 | 2014-03-15 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1437414935 | Daniel Richard Martin | Surgery | 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 | 2012-07-10 |
| 1356602221 | Jan-michael Van Gent | Surgery | Navy Medicine Support Command Attn: Medical Staff Serv., Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-06-06 |
| 1710245840 | Lenka Zachar Md Plc | Surgery | 3 Shircliff Way Ste 500, Jacksonville, FL 32204-4757 | 2012-04-26 |
| 1992015812 | Ashok Roychoudhury, M.d., P.a. | Surgery | 2032a Southside Blvd, Jacksonville, FL 32216-1944 | 2010-10-13 |
| 1558682054 | Jonathan Robert Gower | Surgery | Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2010-06-18 |
| 1851612683 | Jason Bradley Brill | Surgery | Bldg H 2005 Knight Ln, Navy Medicine Support Command, Attn Medical Staff Serv, Jacksonville, FL 32212 | 2010-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.