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NPI Code Detail

MEDICARE: PATRICK J O'NEILL DO

MEDICARE: PATRICK J O'NEILL DO
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
1207Q00000XFamily Medicine PhysicianOK4149OK

Other Identifiers

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

General Provider Information

NPI Number : 1598941973
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICK J O'NEILL DO
Provider Business Mailing Address
First Line : 1414 ARLINGTON ST
Second Line : SUITE 2200
City : ADA
State : OK
Zip : 74820-2643
Country : US
Telephone Number : 580-310-9800
Fax Number : 580-310-9803
Provider Business Practice Location Address
First Line : 1414 ARLINGTON ST
Second Line : SUITE 2200
City : ADA
State : OK
Zip : 74820-2643
Country : US
Telephone Number : 580-310-9800
Fax Number : 580-310-9803
Authorized Official
Title or Position : PHYSICIAN
Name : DR. PATRICK JOHN O'NEILL
Credential : DO
Telephone Number : 580-310-9800
Provider Enumeration Date : 01/15/2008
Last Update Date : 06/17/2008

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