Organization Active NPI

O'Neill Medical Group, P.C.

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1194173112
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP-8354 Issued in AZ
Legal business name
O'NEILL MEDICAL GROUP, P.C.
Practice address
11177 N Oracle Rd Apt 10302
Tucson, AZ 85737-5651
Phone
(520) 301-1603
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Gloria O'Neill
Title
President
Phone
(520) 301-1603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X AP-8354 AZ Primary

Addresses

Primary practice location

11177 N Oracle Rd Apt 10302
Tucson, AZ 85737-5651

Mailing address

11177 N Oracle Rd Apt 10302
Tucson, AZ 85737-5651
Phone (520) 301-1603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1194173112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 N ORACLE RD APT 10302",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857375651",
            "telephone_number": "520-301-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 N ORACLE RD APT 10302",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857375651",
            "telephone_number": "520-301-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'NEILL MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-301-1603"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP-8354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.