Active NPI
O'Neill & Associates P.a.
- Specialist
- San Antonio, TX
National Provider Identifier
1366472250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R06817
- Legal business name
- O'NEILL & ASSOCIATES P.A.
- Practice address
- 1303 McCullough Ave
125
San Antonio, TX 78212-5609 - Phone
- (210) 223-5543
- Fax
- (210) 223-6830
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marvin Sam Belasco, M.D.
- Title
- President
- Phone
- (210) 223-5543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R06817 | TX | Primary |
Addresses
Primary practice location
1303 McCullough Ave
125
San Antonio, TX 78212-5609
Mailing address
1303 McCullough Ave
125
San Antonio, TX 78212-5609
Phone (210) 223-5543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094025601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1303 McCullough Ave
#125
San Antonio, TX 78212
Phone (210) 223-5543
1303 McCullough Ave
Ste 125
San Antonio, TX 78212
Phone (210) 223-5543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1366472250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "125",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125609",
"telephone_number": "210-223-5543",
"fax_number": "210-223-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "125",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125609",
"telephone_number": "210-223-5543",
"fax_number": "210-223-6830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'NEILL & ASSOCIATES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "BELASCO",
"authorized_official_first_name": "MARVIN",
"authorized_official_middle_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-223-5543",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "R06817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094025601",
"state": "TX"
}
],
"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 Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.