Active NPI
Tracy Oneill, PA
- Medical Physician Assistant
- North Syracuse, NY
National Provider Identifier
1487756136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 009059
- Practice address
- 1304 Buckley Rd
North Syracuse, NY 13212-4311 - Phone
- (315) 478-3311
- Fax
- (315) 476-5211
- NPI assigned
- Sep 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 009059 | NY | Primary |
Addresses
Primary practice location
1304 Buckley Rd
North Syracuse, NY 13212-4311
Mailing address
1304 Buckley Rd
North Syracuse, NY 13212-4311
Phone (315) 478-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02366576 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1304 Buckley Rd
Syracuse, NY 13212-4311
1304 Buckley Rd
Suite 200
Syracuse, NY 13212-4317
Phone (315) 478-3311
Hospital & facility affiliations
- Oneida Health Hospital
- University Hospital S U N Y Health Science Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009059 | NY | MD | Medical Physician Assistant |
Interoperability endpoints
- tpaddock@hiemail.healtheconnections.org
Organizations & group practices 1
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.
-
- Nephrology Physician
- Syracuse, NY
- NPI 1831276823
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1487756136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 BUCKLEY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124311",
"telephone_number": "315-478-3311",
"fax_number": "315-476-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 BUCKLEY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124311",
"telephone_number": "315-478-3311",
"fax_number": "315-476-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEILL",
"first_name": "TRACY",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "009059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02366576",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.