NPI Code Detail JSON Logo

1417963372 NPI number — NICHOLAS O'NEIL MD

NPI Number: 1417963372
Health Care Provider/Practitioner: NICHOLAS O'NEIL MD

Information about “1417963372” NPI (NICHOLAS O'NEIL MD) exists in 1417963372 in HTML format HTML  |  1417963372 in plain Text format TXT  |  1417963372 in PDF (Portable Document Format) PDF  |  1417963372 in an XML format XML  formats.

NPI Number : 1417963372 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417963372",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'NEIL",
    "FirstName": "NICHOLAS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6715 N 300 W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAFAYETTE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47906-9635",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "765-427-4255",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6715 N 300 W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAFAYETTE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47906-9635",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "765-427-4255",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/31/2006",
    "LastUpdateDate": "11/07/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": "01032111",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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