NPIMap

Individual provider Active NPI

Patrick J O'Neill, DO

  • Family Medicine Physician
  • Ada, OK
National Provider Identifier
1255353611
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OK4149 Issued in OK
Practice address
1150 North Hills Centre
Ada, OK 74820-1864
Phone
(580) 332-8606
Fax
(580) 332-8616
NPI assigned
Jul 24, 2006
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OK4149 OK Primary

Addresses

Primary practice location

1150 North Hills Centre
Ada, OK 74820-1864

Mailing address

12376 County Road 3480
Ada, OK 74820-3325
Phone (580) 235-1440

Other names 1

  • Patrick J O'Neill Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000398 OK Practitioner - Family PracticePractitioner - Pain Management 0547203028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pain Management
Education
Oklahoma State University College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Health and Wellness LLCGroup PAC ID 1850741299, 3 clinicians

Practice addresses (Care Compare)

307 N Monte Vista
Ada, OK 74820-4607
Phone (918) 791-0266

611 W Cherokee St
Wagoner, OK 74467-4618

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4149OKMDMental Health Counselor
OK4149OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health & Wellness, LLC Family Medicine CurrentSince Mar 18, 2024 Accepting new patients
Douglas County Public Health Services Group, Inc. Past Accepting new patients
Patrick J O'Neill DO Family Medicine PastSince Jan 1, 1990 Accepting new patients
Mercy Hospital Ada, Inc Past Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority Past Accepting new patients

Locations

502 E Cherokee Ave
Sallisaw, OK 74955
Phone (918) 775-7100

611 W Cherokee St
Wagoner, OK 74467
Phone (918) 201-4147

611 W Cherokee St
Ste D
Wagoner, OK 74467
Phone (918) 201-4147

Interoperability endpoints

  • Direct secure messaging: totalhealthandwellness.patrickoneill@157118.advancedmd-direct.com

Organizations & group practices 5

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1255353611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12376 COUNTY ROAD 3480",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203325",
            "telephone_number": "580-235-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NORTH HILLS CENTRE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201864",
            "telephone_number": "580-332-8606",
            "fax_number": "580-332-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "OK4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "O'NEILL",
            "middle_name": "J",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.