JOSEPH W O'NEAL JR. (NPI# 1255704623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255704623 |
Entity Type | Individual |
Full Name | JOSEPH W O'NEAL JR. |
Credential | PA |
Practice Address |
200 Middleburg Dr Myrtle Beach SC 29579-3408 |
Mailing Address |
Po Box 13955 Charleston SC 29422-3955 |
Practice Telephone | 8439036650 |
Mailing Telephone | 8434121590 |
Mailing Fax Number | 8432253549 |
Enumeration Date | 2015-11-07 |
Last Update Date | 2020-02-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2417 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP6738 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
420 W Carolina Ave, Hartsville, SC 295504524 | 8439174977 | 8888540390 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124591581 | Joseph O'neal | Physical Therapist | 184 Buffalo Rd, Clarksville, VA 23927-9010 | 2019-01-09 |
Street Address |
200 MIDDLEBURG DR |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29579-3408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447256672 | Maria Baens | Internal Medicine | 200 Middleburg Dr, Myrtle Beach, SC 29579-3408 | 2005-06-22 |
1841608775 | Catherine Rose Tumbleson | Physician Assistant | 200 Middleburg Dr, Myrtle Beach, SC 29579-3408 | 2014-07-23 |
1295074276 | Doctors Care Sc, Pa | General Practice | 200 Middleburg Dr, Myrtle Beach, SC 29579-3408 | 2013-02-11 |
1457668386 | Lindsey States | Nurse Practitioner | 200 Middleburg Dr, Myrtle Beach, SC 29579 | 2010-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
Find all providers in zip 29579 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
1346350089 | Amy Rose Hancock | Physician Assistant | 4900 Oleander Dr, Suite # 1, Myrtle Beach, SC 29577-5897 | 2006-08-30 |
1093292278 | Brandon Ryan Carney | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2018-07-20 |
1972988590 | Lindsay Marie Johnson | Physician Assistant | 917 Medical Cir, Myrtle Beach, SC 29572-4116 | 2015-07-24 |
1194149161 | Kallie Graham Britton | Physician Assistant | 945 82nd Pkwy, Suite 3b, Myrtle Beach, SC 29572-4612 | 2014-02-12 |
1578908950 | Amanda Beth Belesky | Physician Assistant | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2013-04-30 |
1316177439 | Christy R Hawkins | Physician Assistant | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4610 | 2009-07-23 |
1861621773 | Sarah Elizabeth Benton | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2009-07-13 |
1467698621 | Shelley M Gilbert | Physician Assistant | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 | 2008-12-18 |
1073667234 | Tanya C Bralley | Physician Assistant | 8121 Rourk St, Myrtle Beach, SC 29572-4128 | 2007-01-23 |
Find all providers in MYRTLE BEACH |
City | MYRTLE BEACH |
Zip Code | 29579 |
Please comment or provide details below to improve the information on JOSEPH W O'NEAL JR..
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.