BRIAN J O'NEILL (NPI# 1639600463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639600463 |
| Entity Type | Individual |
| Full Name | BRIAN J O'NEILL |
| Credential | PA-C |
| Practice Address |
900 Maroubra Loop Apt 8203 Cary NC 27513-8850 |
| Mailing Address |
949 Oak Ridge Ave State College PA 16801-6904 |
| Practice Telephone | 8145713293 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-08345 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA059101 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-08345 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 905 University Dr, State College, PA 168016626 | 8142388418 | 8142342888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073872354 | Brian P O'neill | Registered Nurse | 1134 Road 7, Powell, WY 82435-8545 | 2012-05-08 |
| 1285700310 | Brian Scott O'neill | Chiropractor | 516 Claremont Ave, Suite B, Ashland, OH 44805-3010 | 2006-11-28 |
| 1396719779 | Brian Joseph O'neill | Physician Assistant | 11532 Village Ridge Rd, San Diego, CA 92131-3905 | 2006-02-14 |
| 1841282027 | Brian M O'neill | Dentist | 970 W Wooster St, Ste 126, Bowling Green, OH 43402-2643 | 2005-08-16 |
| 1457846669 | Brian Michael O'neill | Massage Therapist | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2018-06-29 |
| 1700311677 | Brian O'neill | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2017-04-27 |
| 1497006506 | Brian Keith O'neill | Chiropractor | 14777 Ne 40th St, Suite 102, Bellevue, WA 98007-3300 | 2012-09-28 |
| 1306034053 | Brian O'neill | Physical Therapy Assistant | 7 Medical Pkwy, Dallas, TX 75234-7829 | 2007-10-09 |
| 1194934539 | Brian P. O'neill | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-22 |
| 1891886966 | Brian O'neill | Nurse Anesthetist, Certified Registered | 2501 Kentucky Avenue, Western Baptist Hospital, Paducha, KY 42003 | 2006-09-27 |
| Street Address |
900 MAROUBRA LOOP APT 8203 |
| City | CARY |
| State | NC |
| Zip Code | 27513-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165914 | Valerie Nicole Mock | Physician Assistant | 2001 Weston Pkwy, Cary, NC 27513-5512 | 2019-10-14 |
| 1275083974 | Kristen Michelle Mundy | Physician Assistant | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-10-06 |
| 1073951406 | Rachel Griffin | Physician Assistant | 100 Parkway Office Ct Ste 112, Cary, NC 27518 | 2013-06-07 |
| 1134447220 | Bariatric Physician Assistants of North Carolina | Physician Assistant | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511-6036 | 2010-05-13 |
| 1861672842 | Elizabeth Jane Mcdowell | Physician Assistant | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2007-11-07 |
| 1689625550 | Don Michael Drinkwater | Physician Assistant | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511-6036 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
| Find all providers with the same taxonomy | ||||
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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.