Individual provider Active NPI

James Timothy O'Neil Jr., M.D.

  • Otolaryngology Physician
  • Raleigh, NC
National Provider Identifier
1497916282
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
149459 Issued in NC
Practice address
3024 New Bern Avenue
Wakemed Raleigh Campus Andrews Center, 2ND Floor
Raleigh, NC 27610
Phone
(919) 350-7856
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 149459 NC Primary

Addresses

Primary practice location

3024 New Bern Avenue
Wakemed Raleigh Campus Andrews Center, 2ND Floor
Raleigh, NC 27610

Mailing address

3245 Anderson Dr
Raleigh, NC 27609-7855
Phone (205) 310-4633

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

LicenseStateTypeSpecialty
149459NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Faculty Practice Plan Otolaryngology Past Accepting new patients
Wakemed Faculty Practice Plan Past Accepting new patients
Wake Specialty Physicians LLC Past Accepting new patients
Wake Specialty Physicians, LLC Otolaryngology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1497916282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 ANDERSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097855",
            "telephone_number": "205-310-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NEW BERN AVENUE",
            "address_2": "WAKEMED RALEIGH CAMPUS ANDREWS CENTER, 2ND FLOOR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-350-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "JAMES",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "149459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.