Active NPI
Benton M Oneal, MD
- Emergency Medicine Physician
- Phoenix, AZ
National Provider Identifier
1346270956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 24380
- Practice address
- 250 E Dunlap Ave
Phoenix, AZ 85020-2825 - Phone
- (602) 870-6353
- NPI assigned
- Jul 3, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24380 | AZ | Primary |
Addresses
Primary practice location
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Mailing address
6702 E Redfield Rd
Scottsdale, AZ 85254-3343
Phone (602) 369-0359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36751702 | Medicaid | AZ |
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 |
|---|---|---|---|
| 24380 | AZ | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346270956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6702 E REDFIELD RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852543343",
"telephone_number": "602-369-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E DUNLAP AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202825",
"telephone_number": "602-870-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEAL",
"first_name": "BENTON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "24380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36751702",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- 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.