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NPI Code Detail

MEDICARE: PATRICK R O'NEIL M.D.

MEDICARE:   PATRICK R O'NEIL  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
1207L00000XAnesthesiology Physician01026331IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050044213OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467412163
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK R O'NEIL M.D.
Provider Business Mailing Address
First Line : 2320 CONCORD RD
Second Line : SUITE C
City : LAFAYETTE
State : IN
Zip : 47909-2708
Country : US
Telephone Number : 317-567-2180
Fax Number : 317-567-2191
Provider Business Practice Location Address
First Line : 2320 CONCORD RD
Second Line : SUITE C
City : LAFAYETTE
State : IN
Zip : 47909-2708
Country : US
Telephone Number : 317-567-2180
Fax Number : 317-567-2191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2006
Last Update Date : 09/05/2024

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Directions to “ PATRICK R O'NEIL M.D.” Practice Location

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