DR. JOHN GREY O'NEILL III


Address: 12404 Hatton Chase Ln W, Jacksonville, FL 32258
Phone: 9043863359

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Providers JOHN O'NEILL

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

Office Location

Street Address 12404 HATTON CHASE LN W
City JACKSONVILLE
State FL
Zip Code 32258

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

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.

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