DR. KELLY RAMSAY O'NEAL III (NPI# 1053401240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053401240 |
Entity Type | Individual |
Full Name | DR. KELLY RAMSAY O'NEAL III |
Other Name | DR. TREY O'NEAL |
Credential | MD, MS |
Practice Address |
1160 E 3900 S Suite 2000 Salt Lake City UT 84124-1202 |
Practice Telephone | 8012663418 |
Mailing Telephone | 8012663418 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2009-02-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
19720 | MS | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5211291-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1323951 | 05 | |
MS | 07880877 | 05 | |
RAILROAD MEDICARE | P00436838 | 01 | |
AETNA | 5613413 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710543087 | Kelly A. O'neal | Physician Assistant | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2019-05-13 |
1982032314 | Kelly E O'neal | Registered Nurse | 42 Cedar St, Bangor, ME 04401-6433 | 2013-10-22 |
1568746493 | Kelly O'neal | Specialist/Technologist, Other | 1300 Oakridge Dr, Suite 130, Fort Collins, CO 80525-5564 | 2011-10-11 |
1629156427 | Kelly C. O'neal | Surgery | 214 14th Ave Sw, Sidney, MT 59270-3521 | 2006-11-01 |
1073628699 | Kelly R O'neal | Obstetrics & Gynecology | 421 S 28th Ave, Hattiesburg, MS 39401-7236 | 2006-08-21 |
Street Address |
1160 E 3900 S SUITE 2000 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84124-1202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164414017 | Edward W Ganellen | Internal Medicine | 1160 E 3900 S, Suite 2000, Salt Lake City, UT 84124-1202 | 2005-08-17 |
1962853432 | Nicholas J. Paulk Md, PC | Surgery | 1160 E 3900 S, Ste 4100, Salt Lake City, UT 84124-1202 | 2016-06-27 |
1174988489 | Michael Pulley | Physician Assistant | 1160 E 3900 S, Siuite 5000, Salt Lake City, UT 84124-1202 | 2015-12-31 |
1972972883 | Aaron Adams | Nurse Practitioner | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1236 | 2015-09-21 |
1578962700 | Marc Waters | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-08-13 |
1538576673 | Heidi Favero | Nurse Practitioner | 1160 E 3900 S, Ste 3500, Salt Lake City, UT 84124-1202 | 2014-07-21 |
1255744017 | Tyler Williamson | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-06-09 |
1922342732 | St. Mark's Physician Billing, LLC | Clinic/Center | 1160 E 3900 S, Ste G200, Salt Lake City, UT 84124-1202 | 2012-11-16 |
1043561517 | Ashley Majoskey | Physician Assistant | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1202 | 2012-09-25 |
1437446168 | Mountainstar Cardiology St Marks LLC | Internal Medicine | 1160 E 3900 S, Ste. 2000, Salt Lake City, UT 84124-1202 | 2011-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
Find all providers in zip 84124 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003189622 | Mehmet Akkaya | Internal Medicine | University of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132-0001 | 2012-02-13 |
1700199627 | Majd Ibrahim | Internal Medicine | 30 N Medical Dr Rm 4a100, Salt Lake City, UT 84132 | 2010-07-20 |
1588804314 | Michael John Preece | Internal Medicine | 1064 Donner Way, Salt Lake City, UT 84108-2507 | 2009-03-06 |
1902071673 | John Joseph Ryan | Internal Medicine | Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 | 2008-04-24 |
1831364561 | Lowell Chang | Internal Medicine | 30 N Medical Dr, Salt Lake City, UT 84132-0001 | 2008-04-23 |
1467505206 | Ravi Ranjan | Internal Medicine | 30 N 1900 E Rm 4a100, Health Sciences Center, Salt Lake City, UT 84132-0002 | 2007-01-18 |
1952321192 | G Michael Vincent | Internal Medicine | 324 10th Ave Ste 130, Salt Lake City, UT 84103-2812 | 2006-07-20 |
1811965122 | John D Day | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2006-03-11 |
1083699144 | Frank G Yanowitz | Internal Medicine | 8th Ave & C St, Lds Hospital, Salt Lake City, UT 84143-0001 | 2005-12-13 |
1306835186 | Peter P Steele | Internal Medicine | 3350 S 2940 E, 9677, Salt Lake City, UT 84109-3159 | 2005-10-14 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84124 |
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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.