Mickaela O'Sullivan O'Neill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8608 N 59TH Ave
Glendale, AZ 85302-5404

Phone

(623) 979-2565

NPI assigned

Aug 28, 2018

Last updated

Apr 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15843/brand/1/csg/1/fhir/r4
• Direct secure messaging: mickaela.o.neill.1@15843.direct.athenahealth.com

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.

• Thunderbird Family Medicine LTD

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1134596174
  Medicare reassignment

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1306327234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025404",
            "telephone_number": "732-796-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025404",
            "telephone_number": "623-979-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "MICKAELA",
        "middle_name": "O'SULLIVAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie O'Connor, MS
• Christopher Stephen O'Donnell, PT
• Grace O'Leary, LCSW, MT-BC, CT
• O'Lua Therapy LLC
• Christa L O'Mara, FNP-C
• Oa West Valley Surgical Partners LLC (OrthoArizona Glendale Surgery Ctr)
• Oakeson Physical Therapy
• Gamal Oakey, PT, DPT, CSCS
• Amanda Oas
• John Christopher Oatis, DDS

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.