Active NPI
Laura A. O'Neill, PA-C
- Medical Physician Assistant
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA61445565
- Practice address
- 600 Gresham Dr
Norfolk, VA 23507-1904 - Phone
- (757) 388-3000
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA61445565 | WA | Primary |
| Physician Assistant | 363A00000X | 0110-007348 | VA |
Addresses
Primary practice location
600 Gresham Dr
Norfolk, VA 23507-1904
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other practice location 1
510 8th Ave NE Ste 110
Issaquah, WA 98029-5436
Phone (425) 507-0810
Other practice location 2
3101 Northup Way Ste 102
Bellevue, WA 98004-1469
Phone (425) 807-0810
Other practice location 3
3102 Colby Ave
Everett, WA 98201-4025
Phone (425) 258-8110
Other practice location 4
814 Kempsville Road
Building #17, Suite 106
Norfolk, VA 23502
Phone (757) 466-0089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000
12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800
21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 563-1500
500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700
700 Minor Ave
Seattle, WA 98104-2146
Phone (425) 563-1500
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
747 Broadway RM
Suite 404
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
- Evergreenhealth Medical Center
- Overlake Hospital Medical Center & Clinics
- Swedish Medical Center
- Swedish Issaquah
- Swedish Medical Center / Cherry Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-007348 | VA | MD | Physician Assistant |
| PA61445565 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients |
Locations
3101 Northup Way
Ste 102
Bellevue, WA 98004
Phone (425) 507-0810
1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000
3102 Colby Ave
Everett, WA 98201
Phone (425) 258-8110
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
510 8th Ave NE
Ste 110
Issaquah, WA 98029
Phone (425) 507-0810
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1346609575
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1487286597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-3000"
}
],
"practiceLocations": [
{
"address_1": "510 8th Ave NE Ste 110",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980295436",
"country_code": "US",
"telephone_number": "425-507-0810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3101 Northup Way Ste 102",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980041469",
"country_code": "US",
"telephone_number": "425-807-0810",
"fax_number": "425-507-0805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3102 Colby Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014025",
"country_code": "US",
"telephone_number": "425-258-8110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "814 Kempsville Road",
"address_2": "Building #17, Suite 106",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "23502",
"country_code": "US",
"telephone_number": "757-466-0089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEILL",
"first_name": "LAURA",
"middle_name": "A.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA61445565",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-007348",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.