Ambrose S Okonkwo (NPI# 1720011950, PAC ID# 4486668316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720011950 |
| PAC ID by PECOS | 4486668316 |
| Professional Enrollment ID | I20060131000460 |
| Full Name | Ambrose S Okonkwo |
| Address |
2104 N Herritage St Kinston NC 28501-2222 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340027 | UNC LENOIR HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 2104 N Herritage St, Kinston, NC 28501-2222 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Street Address |
2104 N HERRITAGE ST |
| City | KINSTON |
| State | NC |
| Zip | 28501-2222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C Sylvia | Chiropractic | 2601 N Herritage St, Kinston, NC 28501-1502 | |
| Joseph A Saracino | Gastroenterology | 2602 N Heritage St, Kinston, NC 28501-1503 | |
| John G Cargill Iii | Urology | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Ricky L Bare | Urology | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Daniel Gary Baseman | Radiation Oncology | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Michael B Burris | Urology | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Louay Hanna | Hematology/oncology | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Charles C Thomas Ii | Radiation Oncology | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Catherine S Pilgrim | Physician Assistant | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Charles V Wendling Jr. | Hematology/oncology | Radiation Therapy Associates of Western North Carolina Pa | 703 Doctors Dr, Kinston, NC 28501-1506 |
| Find all physicians in zip 28501 | |||
| City | KINSTON |
| Zip Code | 28501 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ambrose S Okonkwo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.