DR. JOHN GREY O'NEILL III (NPI# 1831155381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831155381 |
Entity Type | Individual |
Full Name | DR. JOHN GREY O'NEILL III |
Credential | M.D. |
Practice Address |
12404 Hatton Chase Ln W Jacksonville FL 32258 |
Mailing Address |
12404 Hatton Chase Ln W Jacksonville FL 32258-4435 |
Practice Telephone | 9043863359 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2018-08-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
ME87833 | FL | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C55278 | CA | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME87833 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE CA | CA266394 | 01 |
CA | RAILROAD MEDICARE | P01965489 | 01 |
CA | RAILROAD MEDICARE | P01893755 | 01 |
CA | MEDICARE CA | CA282270 | 01 |
CA | CIGNA | 7726991 | 01 |
CA | MEDICARE CA | CB281166 | 01 |
FL | 267254500 | 05 | |
CA | MEDICARE CA | CA266418 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306275698 | John O'neill Jr. | Rehabilitation Counselor | 3450 Erva St, Apt 165, Las Vegas, NV 89117-6300 | 2013-11-06 |
1245588995 | John O'neill | Behavioral Analyst | 1052 W No Name Rd, Carbondale, IL 62902-7783 | 2012-08-28 |
1336421395 | John L. O'neill | Social Worker | 103 Myron Street Suite A, West Springfield, MA 01089 | 2011-09-15 |
1356503403 | John James O'neill | Optometrist | 4002 Wyndwood Dr, Crystal Lake, IL 60014-6545 | 2008-06-30 |
1386859338 | John C. O'neill | Dentist | 760 Kinderkamack Rd, River Edge, NJ 07661-2447 | 2007-05-13 |
1346238516 | John F. O'neill | Ophthalmology | 2 Wisconsin Cir, Suite 200, Chevy Chase, MD 20815-7003 | 2005-10-11 |
1942205273 | John Hilton O'neill | Physical Therapist | 911 University Dr., State College, PA 16801 | 2005-06-14 |
1336781491 | John Conor O'neill | Psychologist | 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 | 2019-10-10 |
1063812873 | John O'neill | Physical Therapy Assistant | 56 W Frederick St, Walkersville, MD 21793-8254 | 2014-08-28 |
1376978353 | John Charles O'neill | Social Worker | 7 S Howard St, Suite 321, Spokane, WA 99201-3821 | 2013-09-09 |
Street Address |
12404 HATTON CHASE LN W |
City | JACKSONVILLE |
State | FL |
Zip Code | 32258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
Find all providers in zip 32258 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316596471 | Summerlin Imaging Center LLC | Radiology | 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 | 2019-09-10 |
1275038671 | William Austin Forshee | Radiology | 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2018-03-27 |
1316449267 | F&s Radiology, P.C. | Radiology | 10045 Richton Ct, Jacksonville, FL 32246-1885 | 2018-03-07 |
1679025522 | Diagnostic Imaging Partners | Radiology | 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 | 2016-10-26 |
1689052359 | Coastal Vein & Vascular Institute, LLC | Radiology | 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 | 2015-05-13 |
1316385024 | Matthew Hal Jenson | Radiology | 655 W 8th St # C-90, Jacksonville, FL 32209-6511 | 2013-06-05 |
1740557917 | Rmed LLC | Radiology | 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 | 2011-11-16 |
1952618324 | Edgardo Alberto Agrait-bertran | Radiology | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 | 2010-09-08 |
1477788982 | David A Walker Md Pa | Radiology | 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 | 2009-05-28 |
1245465343 | Kyle Hayden | Radiology | 1303 Greenridge Rd, Jacksonville, FL 32207-5334 | 2009-05-19 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32258 |
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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.