Pioneer Health Services of Oneida, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PIONEER HEALTH SERVICES OF ONEIDA, LLC

Practice address

19268 Alberta St
Oneida, TN 37841-6061

Phone

(601) 849-6440

NPI assigned

Feb 5, 2014

Organization subpart

No

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

Authorized official

Name

Joseph S McNulty III

Title

Ceo

Phone

(601) 849-6440

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Family Medical of Oneida Alberta Street Doing business as

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1194149690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19268 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19268 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416061",
            "telephone_number": "601-849-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF ONEIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Medical of Oneida Alberta Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Elbert Perry, M.D.
• Marka Delayne Phillips, BCBA
• Physiotherapy Associates, Inc.
• Cody Alan Pike, NP-C
• Trisa Pike
• Pioneer Health Services of Oneida, LLC
• Pioneer Health Services of Oneida, LLC
• Pioneer Health Services of Oneida, LLC
• Pioneer Health Services of Oneida, LLC
• Pioneer Health Services of Oneida, LLC

• Clinic/Center in Oneida, TN
• Providers in Oneida, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.