Active NPI
Jack W Oneill, MS, AT, CES
- Athletic Trainer
- Dublin, OH
National Provider Identifier
1366047912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT004644
- Practice address
- 6955 Hospital Dr
Dublin, OH 43016-8580 - Phone
- (614) 619-9920
- NPI assigned
- Dec 2, 2020
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT004644 | OH | Primary |
Addresses
Primary practice location
6955 Hospital Dr
Dublin, OH 43016-8580
Mailing address
4117 Sequoia Ave
Grove City, OH 43123-9031
Phone (614) 619-9920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT004644 | Other | OH | OT, PT, AT BOARD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT004644 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1366047912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 SEQUOIA AVE",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239031",
"telephone_number": "614-619-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 HOSPITAL DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168580",
"telephone_number": "614-619-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEILL",
"first_name": "JACK",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MS, AT, CES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT004644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT, PT, AT BOARD",
"identifier": "AT004644",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.