O'NEILL CLINIC, P.A. (NPI# 1699932509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699932509 |
Entity Type | Organization |
Organization Name | O'NEILL CLINIC, P.A. |
Practice Address |
1617 Lincoln Way Coeur D Alene ID 83814-2422 |
Practice Telephone | 2086645000 |
Practice Fax Number | 2086678098 |
Mailing Telephone | 2086645000 |
Mailing Fax Number | 2086678098 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2008-09-18 |
Authorized Official Name | DR. THOMAS DANIEL O'NEILL (PRESIDENT) |
Authorized Official Telephone | 2086645000 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CHIA469 | ID | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | REGENCE BLUE SHIELD | 31546 | 01 |
ID | BLUE CROSS | C4694 | 01 |
Street Address |
1617 LINCOLN WAY |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-2422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750357497 | Thomas Daniel O'neill | Chiropractor | 1617 Lincoln Way, Coeur D Alene, ID 83814-2422 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516303 | Nova Integrative Health | Clinic/Center | 229 E Logan St, Caldwell, ID 83605-4835 | 2020-07-30 |
1508489600 | We Care Wellness Center, Inc. | Clinic/Center | 1484 E Bobwhite Ln, Post Falls, ID 83854-4949 | 2020-05-22 |
1023639622 | Idaho Street Medical Clinic | Clinic/Center | 126 W. Idaho Ave, Homedale, ID 83628-8362 | 2020-05-05 |
1316506413 | Sawtooth Family Medicine Pllc | Clinic/Center | 2320 E Gala St Ste 400, Meridian, ID 83642-4880 | 2019-06-12 |
1770059792 | New Plymouth Clinic | Clinic/Center | 213 N Plymouth Ave, New Plymouth, ID 83655-5532 | 2018-10-17 |
1477044543 | Place of Food | Clinic/Center | 1131 Cole St, Kimberly, ID 83341-5138 | 2018-05-24 |
1619351582 | Natural Family Health Inc. | Clinic/Center | 945 E River Spur, Priest River, ID 83856-5070 | 2015-07-10 |
1982026571 | Treasure Valley Family Health Care, LLC | Clinic/Center | 1055 N Echohawk Way, Eagle, ID 83616-5456 | 2014-01-16 |
1124303094 | N.e.x.t. Level Health Center, Inc. | Clinic/Center | 2105 Niagara, Idaho Falls, ID 83404 | 2011-10-11 |
1972821254 | Sohm Chiropractic Pa | Clinic/Center | 8382 W Ustick Rd, Suite 200, Boise, ID 83704-5986 | 2010-05-11 |
Find all providers with the same taxonomy |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.