Individual provider Active NPI

William Thomas Oneill Jr., P.O.

  • Prosthetic/Orthotic Supplier
  • Anthem, AZ
National Provider Identifier
1326403551
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR351 Issued in FL
Practice address
3825 W Anthem Way
Unit 3151
Anthem, AZ 85086-3100
Phone
(602) 348-1055
NPI assigned
Dec 14, 2015
Last updated
Jun 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X AZ
Prosthetic/Orthotic Supplier 335E00000X POR351 FL Primary

Addresses

Primary practice location

3825 W Anthem Way
Unit 3151
Anthem, AZ 85086-3100

Mailing address

8757 SE Sandy LN
Hobe Sound, FL 33455-4644
Phone (602) 348-1055

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
POR351FLMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Team O'Neill Inc Prosthetic/Orthotic Supplier Current Accepting new patients
Hope Medical Prosthetics and Orthotics LLC Prosthetic/Orthotic Supplier CurrentSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1326403551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 SE SANDY LN",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554644",
            "telephone_number": "602-348-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 W ANTHEM WAY",
            "address_2": "UNIT 3151",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863100",
            "telephone_number": "602-348-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "P.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.