MEDICARE: MICHELLE BLINN O'NEILL 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	146D00000X	Personal Emergency Response Attendant	01052393A	IN
2	207P00000X	Emergency Medicine Physician	01052393A	IN

General Provider Information

NPI Number	:	1316951130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BLINN O'NEILL MD

Provider Business Mailing Address
First Line	:	10345 WILMINGTON DR
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47725-9022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 MILLIS AVE
Second Line	:
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2242
Country	:	US
Telephone Number	:	812-897-7130
Fax Number	:	812-897-7280

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	09/11/2025

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