Active NPI
Thomas K O'Neill, MD
- Urology Physician
- San Antonio, TX
National Provider Identifier
1326028713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2012-00844
- Practice address
- 3327 Research Plaza
Sute 403
San Antonio, TX 78235 - Phone
- (210) 337-6228
- Fax
- (210) 679-3724
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2012-00844 | NC | Primary |
Addresses
Primary practice location
3327 Research Plaza
Sute 403
San Antonio, TX 78235
Mailing address
7909 Fredericksburg Rd
Suite 110
San Antonio, TX 78229
Phone (210) 731-2050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012-00844 | Other | NC | LICENSE |
| 5921032 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-00844 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountaincare Urology | Urology | Past | Accepting new patients |
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.
-
- Urology Physician
- Sylva, NC
- NPI 1750486734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1326028713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7909 FREDERICKSBURG RD",
"address_2": "SUITE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-731-2050",
"fax_number": "210-679-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 RESEARCH PLAZA",
"address_2": "SUTE 403",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78235",
"telephone_number": "210-337-6228",
"fax_number": "210-679-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2012-00844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2012-00844",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5921032",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.