Active NPI
Thomas J O Neill, M.D.
- Pulmonary Disease Physician
- Danville, VA
National Provider Identifier
1467452706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 010121076
- Practice address
- 159 Executive Dr
Suite F
Danville, VA 24541-4160 - Phone
- (434) 792-4378
- Fax
- (434) 799-0860
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 010121076 | VA | Primary |
Addresses
Primary practice location
159 Executive Dr
Suite F
Danville, VA 24541-4160
Mailing address
159 Executive Dr
Suite F
Danville, VA 24541-4160
Phone (434) 792-4378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006093230 | Medicaid | VA |
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 |
|---|---|---|---|
| 010121076 | VA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1467452706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 EXECUTIVE DR",
"address_2": "SUITE F",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245414160",
"telephone_number": "434-792-4378",
"fax_number": "434-799-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 EXECUTIVE DR",
"address_2": "SUITE F",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245414160",
"telephone_number": "434-792-4378",
"fax_number": "434-799-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O NEILL",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "010121076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006093230",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.