Organization Active NPI

O'Neill & Associates P.a.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1366472250
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R06817 Issued in TX
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

Updated by the provider on Jul 10, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
094025601MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.