Individual provider Active NPI

Anne O'Neill, M.D.

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1114181484
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08019300 Issued in NJ
Practice address
8930 W Sunset Rd
Suite#300
Las Vegas, NV 89148-5008
Phone
(702) 258-7788
Fax
(702) 258-7787
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA08019300 NJ Primary

Addresses

Primary practice location

8930 W Sunset Rd
Suite#300
Las Vegas, NV 89148-5008

Mailing address

9811 W Charleston Blvd
Suite#2640
Las Vegas, NV 89117-7528
Phone (702) 258-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08019300NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vegas Vascular Specialists PLLC CurrentSince May 22, 2022 Accepting new patients

Locations

9811 W Charleston Blvd
Ste 2640
Las Vegas, NV 89117

8930 W Sunset Rd
Ste 250
Las Vegas, NV 89148
Phone (702) 258-7788

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1114181484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "SUITE#2640",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-258-7788",
            "fax_number": "702-258-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD",
            "address_2": "SUITE#300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485008",
            "telephone_number": "702-258-7788",
            "fax_number": "702-258-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08019300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.