MEDICARE: DR. RICHARD JOHN ONEILL M.D.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	2003026273	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101057	OTHER	MO	HEALTHLINK PROVIDER NO
2	25213	OTHER	MO	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1265570485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOHN ONEILL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 790379
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63179-0379
Country	:	US
Telephone Number	:	314-653-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	11155 DUNN RD
Second Line	:	SUITE 202E
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6150
Country	:	US
Telephone Number	:	314-653-8600
Fax Number	:

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	01/11/2026

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Directions to “ DR. RICHARD JOHN ONEILL M.D.” Practice Location

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