MEDICARE: DR. CATHERINE ALEXANDRA ONEIL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD066395L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366435968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE ALEXANDRA ONEIL MD

Provider Business Mailing Address
First Line	:	7 DOCK HILL RD
Second Line	:
City	:	MIDDLEBURG
State	:	PA
Zip	:	17842-8910
Country	:	US
Telephone Number	:	570-837-2123
Fax Number	:	570-837-2185

Provider Business Practice Location Address
First Line	:	6850 LOWS RD STE 325B
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-8708
Country	:	US
Telephone Number	:	570-784-5545
Fax Number	:	570-245-0240

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	10/07/2025

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