O'Neil Joseph Engeron, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

009976 Issued in LA

Practice address

615 Dunn St
Houma, LA 70360-4707

Phone

(985) 868-2320

Fax

(985) 868-2323

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346260205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604707",
            "telephone_number": "985-868-2320",
            "fax_number": "985-868-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604707",
            "telephone_number": "985-868-2320",
            "fax_number": "985-868-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGERON",
        "first_name": "O'NEIL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "009976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188808",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranesha Ellis
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• Eric David Engeron, MD
• Michael G. Engeron, D.D.S.
• Destani English
• Erin H Pennison, MD, Apmc
• Rory Andrew Eschete II, MD
• Drew Eschete, ATC, LAT, MS
• Gavin Michael Eschete

• Plastic and Reconstructive Surgery Physician in Houma, LA
• Providers in Houma, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.